KATHLEEN BAUTISTA Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016428

License Status

ACTIVE

Business

First Name

KATHLEEN

Last Name

BAUTISTA

Business Name

KATHLEEN BAUTISTA

Original Issue Date

01/15/2014

Effective Date

11/17/2025

Expiration Date

11/30/2027

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/17/2025