KELLY DURBIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006741

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

DURBIN

Business Name

KELLY DURBIN

Original Issue Date

11/01/1995

Effective Date

09/18/2017

Expiration Date

11/30/2019

City

TAMPA

State

Zip

33635

County

FLORIDA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020