KIM S KILBOURN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002345

License Status

INACTIVE

Business

First Name

KIM S

Last Name

KILBOURN

Business Name

KIM S KILBOURN

Original Issue Date

08/10/1990

Effective Date

12/04/2003

Expiration Date

11/30/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005