JUSTIN PETER GUNDERSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015053

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

PETER

Last Name

GUNDERSON

Business Name

JUSTIN PETER GUNDERSON

Original Issue Date

12/14/2011

Effective Date

12/04/2017

Expiration Date

11/30/2019

City

PRAIRIE VIEW

State

Zip

60069

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020