SUSAN PUKANSKY APPLE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150003034

License Status

INACTIVE

Business

First Name

SUSAN PUKANSKY

Last Name

APPLE

Business Name

SUSAN PUKANSKY APPLE

Original Issue Date

01/17/1990

Effective Date

11/18/2013

Expiration Date

11/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

BACCALAUREATE

Ever Disciplined

LastModifiedDate

09/04/2015