KIMBERLY ANN NISSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009435

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

NISSEN

Business Name

KIMBERLY ANN NISSEN

Original Issue Date

10/21/2003

Effective Date

11/03/2015

Expiration Date

11/30/2017

City

ELGIN

State

Zip

60120

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018