KIMBERLY A WIETZOREK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004528

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

WIETZOREK

Business Name

KIMBERLY A WIETZOREK

Original Issue Date

01/16/1992

Effective Date

12/22/2011

Expiration Date

11/30/2013

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014