TARA LEE GUSTAFSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009023

License Status

NOT RENEWED

Business

First Name

TARA LEE

Last Name

GUSTAFSON

Business Name

TARA LEE GUSTAFSON

Original Issue Date

08/22/2002

Effective Date

11/25/2013

Expiration Date

11/30/2015

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016