LISA MICHELLE KUSUMPA Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010909

License Status

ACTIVE

Business

First Name

LISA

Middle

MICHELLE

Last Name

KUSUMPA

Business Name

LISA MICHELLE KUSUMPA

Original Issue Date

05/19/2004

Effective Date

11/25/2025

Expiration Date

11/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/25/2025