SUSAN E BLACK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150000684

License Status

INACTIVE

Business

First Name

SUSAN E

Last Name

BLACK

Business Name

SUSAN E BLACK

Original Issue Date

08/09/1989

Expiration Date

11/30/1993

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/03/2005