ANDREW J KOSIROG Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003868

License Status

INACTIVE

Business

First Name

ANDREW J

Last Name

KOSIROG

Business Name

ANDREW J KOSIROG

Original Issue Date

09/03/1991

Effective Date

10/27/2011

Expiration Date

11/30/2013

City

MINIER

State

Zip

61759

County

TAZEWELL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2013