KATHLEEN MARIE GOMEZ Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013251

License Status

INACTIVE

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

GOMEZ

Business Name

KATHLEEN MARIE GOMEZ

Original Issue Date

09/19/2008

Effective Date

10/07/2013

Expiration Date

11/30/2015

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015