SAMUEL ALEXANDER KIMEL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008660

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

ALEXANDER

Last Name

KIMEL

Business Name

SAMUEL ALEXANDER KIMEL

Original Issue Date

05/26/1999

Effective Date

09/10/2013

Expiration Date

11/30/2015

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016