TARA LEE GUSTAFSON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017985

License Status

ACTIVE

Business

First Name

TARA LEE

Last Name

GUSTAFSON

Business Name

TARA LEE GUSTAFSON

Original Issue Date

09/25/2015

Effective Date

10/23/2025

Expiration Date

11/30/2027

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/23/2025