KIMBERLY ANN NISSEN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018595

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

NISSEN

Business Name

KIMBERLY ANN NISSEN

Original Issue Date

06/14/2016

Effective Date

10/07/2025

Expiration Date

11/30/2027

City

ELGIN

State

Zip

60120

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/07/2025