SUSAN MARIE GAMBACH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015516

License Status

ACTIVE

Business

First Name

SUSAN

Middle

MARIE

Last Name

GAMBACH

Business Name

SUSAN MARIE GAMBACH

Original Issue Date

10/09/2012

Effective Date

09/12/2025

Expiration Date

11/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/12/2025