LESLIE A NIDER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003397

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

NIDER

Business Name

LESLIE A NIDER

Original Issue Date

04/02/1991

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

MONROE

State

Zip

53566

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010