SUSAN ANN COLE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012058

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ANN

Last Name

COLE

Business Name

SUSAN ANN COLE

Original Issue Date

07/17/2006

Effective Date

10/20/2015

Expiration Date

11/30/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018