BRANDY N KUKURBA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015281

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

Last Name

KUKURBA

Business Name

BRANDY N KUKURBA

Original Issue Date

05/15/2012

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016