ELLEN MARIE SURPRENANT Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018145

License Status

ACTIVE

Business

First Name

ELLEN

Middle

MARIE

Last Name

SURPRENANT

Business Name

ELLEN MARIE SURPRENANT

Original Issue Date

12/03/2015

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

CHEBANSE

State

Zip

60922

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/18/2025