KEELY MICHELLE FORD - Social Worker License in Illinois | # 149018776

KEELY MICHELLE FORD

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018776

License Status

NOT RENEWED

Business

N

First Name

KEELY

Middle

MICHELLE

Last Name

FORD

Business Name

KEELY MICHELLE FORD

Original Issue Date

08/31/2016

Effective Date

09/11/2019

Expiration Date

02/28/2022

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

07/27/2022