KENNETH TERRY BREITWISER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013342

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015