SUSAN R FUGLEBERG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150002234

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

FUGLEBERG

Business Name

SUSAN R FUGLEBERG

Original Issue Date

12/16/1989

Effective Date

10/08/2009

Expiration Date

11/30/2011

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012