KATHLEEN A KEELEY HANLON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010989

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Middle

KEELEY

Last Name

HANLON

Business Name

KATHLEEN A KEELEY HANLON

Original Issue Date

06/24/2004

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

LAFAYETTE

State

Zip

80026

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020