KIMBERLY ANN MOUSTOUKKIS Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020211

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

MOUSTOUKKIS

Business Name

KIMBERLY ANN MOUSTOUKKIS

Original Issue Date

04/04/2018

Effective Date

11/12/2025

Expiration Date

11/30/2027

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/12/2025