AMY E KLEM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008524

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

KLEM

Business Name

AMY E KLEM

Original Issue Date

05/16/2001

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006