REBECCA KOTZIN GUSTAFSON - Social Worker License in Illinois | # 149000117

REBECCA KOTZIN GUSTAFSON

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000117

License Status

INACTIVE

Business

N

First Name

REBECCA

Middle

KOTZIN

Last Name

GUSTAFSON

Business Name

REBECCA KOTZIN GUSTAFSON

Original Issue Date

09/30/1989

Effective Date

09/13/2017

Expiration Date

11/30/2019

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/04/2019