KATHLEEN M KOSTOCK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001172

License Status

INACTIVE

Business

First Name

KATHLEEN M

Last Name

KOSTOCK

Business Name

KATHLEEN M KOSTOCK

Original Issue Date

12/22/1989

Effective Date

11/04/2019

Expiration Date

02/28/2022

City

PADDOCK LAKE

State

Zip

53168

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/15/2021