KIRSTEN R TILLMAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011428

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

Last Name

TILLMAN

Business Name

KIRSTEN R TILLMAN

Original Issue Date

05/24/2005

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010