KIERSTEN ROXANNE AMPORT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019137

License Status

NOT RENEWED

Business

First Name

KIERSTEN

Middle

ROXANNE

Last Name

AMPORT

Business Name

KIERSTEN ROXANNE AMPORT

Original Issue Date

02/17/2017

Effective Date

10/31/2019

Expiration Date

02/28/2022

City

QUINCY

State

Zip

62305

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022