AMY MARIE GUSTAFSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150107129

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MARIE

Last Name

GUSTAFSON

Business Name

AMY MARIE GUSTAFSON

Original Issue Date

03/16/2022

Effective Date

09/24/2023

Expiration Date

11/30/2025

City

ROCKFORD

State

Zip

61109

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026