KIMBERLY STANIFORTH TALLON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019847

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

STANIFORTH

Last Name

TALLON

Business Name

KIMBERLY STANIFORTH TALLON

Original Issue Date

11/09/2017

Effective Date

10/08/2019

Expiration Date

02/28/2022

City

DUBUQUE

State

Zip

52001

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022