LARRY J KELLEY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001253

License Status

INACTIVE

Business

First Name

LARRY J

Last Name

KELLEY

Business Name

LARRY J KELLEY

Original Issue Date

12/28/1989

Effective Date

11/19/2013

Expiration Date

11/30/2015

City

CALEDONIA

State

Zip

61011

County

BOONE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015