SUSAN L BALLER-SHEPARD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150004612

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

BALLER-SHEPARD

Business Name

SUSAN L BALLER-SHEPARD

Original Issue Date

08/04/1992

Expiration Date

11/30/1995

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005