ANDREA LEE DIELEMAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018068

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LEE

Last Name

DIELEMAN

Business Name

ANDREA LEE DIELEMAN

Original Issue Date

11/02/2015

Effective Date

10/12/2017

Expiration Date

11/30/2019

City

GRAND RAPIDS

State

Zip

49507

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020