KATHERINE L KOZIK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007240

License Status

NOT RENEWED

Business

First Name

KATHERINE L

Last Name

KOZIK

Business Name

KATHERINE L KOZIK

Original Issue Date

09/06/1996

Effective Date

11/13/2013

Expiration Date

11/30/2015

City

SANTA FE

State

Zip

87508

County

NEW MEXICO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016