NICOLE MARIE MARCOUILLER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015479

License Status

INACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

MARCOUILLER

Business Name

NICOLE MARIE MARCOUILLER

Original Issue Date

09/19/2012

Effective Date

10/19/2015

Expiration Date

11/30/2017

City

MAPLE GROVE

State

Zip

55311

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017