CHRISTINA J KOLB Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009204

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

Last Name

KOLB

Business Name

CHRISTINA J KOLB

Original Issue Date

06/22/2000

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006