License Information
License Number
150107650Business Name
GRACE ANDREA TEMPLEMANLicense Type
SOCIAL WORKEROriginal Issue Date
2022-04-22License Status
ACTIVECity
WAUWATOSAState
WIPost
53213Update Date
2022-04-27Business
NEffective Date
04/22/2022Expiration Date
11/30/2023Ever Disciplined
NLastModifiedDate
04/22/2022Specialty/Qualifier
MASTERSRegistered Location
Peripheral Licensees
- MARY END WAUWATOSA, WI 53226
- MICHELLE CORPUZ HARPER WAUWATOSA, WI 53226
- SUSAN C BROWN WAUWATOSA, WI 53225
- KATHLEEN M KNOLL WAUWATOSA, WI 53213
- MELISSA J LYDECKER WAUWATOSA, WI 53213
- BABETTE ALICE ROSSER WAUWATOSA, WI 53213
- MARLON F LEVY MD WAUWATOSA, WI 53213
- JOHN P ANDERSON WAUWATOSA, WI 53213
- HEIDI J RIEGEL WAUWATOSA, WI 53213
- NATALIE PAWLICKI WAUWATOSA, WI 53213