KELLI ANN GERONIME Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009831

License Status

INACTIVE

Business

First Name

KELLI

Middle

ANN

Last Name

GERONIME

Business Name

KELLI ANN GERONIME

Original Issue Date

11/13/2001

Effective Date

11/20/2003

Expiration Date

11/30/2003

City

MEQUON

State

Zip

53097

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005