REBECCA KOTZIN GUSTAFSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000117

License Status

INACTIVE

Business

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

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019