KIRA LARSON FIELDSTROM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018107

License Status

NOT RENEWED

Business

First Name

KIRA

Middle

LARSON

Last Name

FIELDSTROM

Business Name

KIRA LARSON FIELDSTROM

Original Issue Date

11/23/2015

Effective Date

11/23/2015

Expiration Date

11/30/2017

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018