KIMBERLY K VANDE WYDEVEN IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000119

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

VANDE WYDEVEN

Business Name

KIMBERLY K VANDE WYDEVEN

Original Issue Date

12/22/2011

Effective Date

01/08/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2015