KERI ELLYN DEWAELE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008063

License Status

INACTIVE

Business

First Name

KERI ELLYN

Last Name

DEWAELE

Business Name

KERI ELLYN DEWAELE

Original Issue Date

04/28/1998

Effective Date

09/13/2013

Expiration Date

11/30/2015

City

ROSELLE

State

Zip

60172

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015