KELLY MARIE PATRICK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019002

License Status

INACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

PATRICK

Business Name

KELLY MARIE PATRICK

Original Issue Date

12/01/2016

Effective Date

11/22/2021

Expiration Date

11/30/2023

City

GILBERT

State

Zip

85298

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

08/31/2023