KIMBERLY B FOWLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009300

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

FOWLER

Business Name

KIMBERLY B FOWLER

Original Issue Date

09/11/2000

Effective Date

11/04/2003

Expiration Date

11/30/2005

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006