DOUGLAS S SYNNESTVEDT Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149023594

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

SYNNESTVEDT

Business Name

DOUGLAS S SYNNESTVEDT

Original Issue Date

08/02/2021

Effective Date

09/30/2025

Expiration Date

11/30/2027

City

KENOSHA

State

Zip

53143

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/30/2025