THERESA WIESE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021439

License Status

ACTIVE

Business

First Name

THERESA

Last Name

WIESE

Business Name

THERESA WIESE

Original Issue Date

07/16/2019

Effective Date

09/26/2025

Expiration Date

11/30/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/26/2025