MARTHA A KIENZLER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002615

License Status

INACTIVE

Business

First Name

MARTHA A

Last Name

KIENZLER

Business Name

MARTHA A KIENZLER

Original Issue Date

12/14/1990

Effective Date

11/14/2003

Expiration Date

11/30/2003

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005