STACY A KISSAMIS Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021599

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

KISSAMIS

Business Name

STACY A KISSAMIS

Original Issue Date

09/10/2019

Effective Date

11/10/2025

Expiration Date

11/30/2027

City

SCHAUMBURG

State

Zip

60194

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/10/2025