NICOLE MARIE KOONTZ Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020447

License Status

INACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

KOONTZ

Business Name

NICOLE MARIE KOONTZ

Original Issue Date

07/02/2018

Effective Date

11/07/2019

Expiration Date

02/28/2022

City

ENUMCLAW

State

Zip

98022

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2022