KENNETH TERRY BREITWISER - Social Worker License in Illinois | # 149013342

KENNETH TERRY BREITWISER

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013342

License Status

INACTIVE

Business

N

First Name

KENNETH

Middle

TERRY

Last Name

BREITWISER

Business Name

KENNETH TERRY BREITWISER

Original Issue Date

11/24/2008

Effective Date

11/15/2013

Expiration Date

11/30/2015

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/04/2015