| Name | BUSCEMI CARMAN CHARLES |
|---|---|
| Address | UNIONDALENY |
| Profession | LICENSED MASTER SOCIAL WORK |
| License No | 004005 |
| Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron01/11/68) |
| Additional Qualification | |
| Status | INACTIVE |
| Registered through last day of |