JESSICA L W DUTTKIN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011614

License Status

INACTIVE

Business

First Name

JESSICA

Middle

L W

Last Name

DUTTKIN

Business Name

JESSICA L W DUTTKIN

Original Issue Date

10/11/2005

Effective Date

10/17/2013

Expiration Date

11/30/2015

City

WAUNAKEE

State

Zip

53597

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015