JACQUELINE MARIE KLIETZ Marriage and Family Therapist License verification

Business Entity

NOT RENEWED

License Type

Marriage and Family Therapist

Description

ASSOCIATE LICENSED MARRIAGE AND FAMILY THERAPIST

License Number

208000328

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

KLIETZ

Business Name

JACQUELINE MARIE KLIETZ

Original Issue Date

08/12/2013

Effective Date

08/12/2013

Expiration Date

08/12/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/04/2018