KIMBERLY A WIETZOREK - Social Worker License in Illinois | # 149004528

KIMBERLY A WIETZOREK

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004528

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

A

Last Name

WIETZOREK

Business Name

KIMBERLY A WIETZOREK

Original Issue Date

01/16/1992

Effective Date

12/22/2011

Expiration Date

11/30/2013

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

02/19/2014