ALEXIS RENEE KOTH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021239

License Status

ACTIVE

Business

First Name

ALEXIS

Middle

RENEE

Last Name

KOTH

Business Name

ALEXIS RENEE KOTH

Original Issue Date

05/07/2019

Effective Date

10/31/2025

Expiration Date

11/30/2027

City

LINDENHURST

State

Zip

60046

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/31/2025