PEYTON R KELLER JR Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003241

License Status

INACTIVE

Business

First Name

PEYTON

Middle

Last Name

KELLER

Suffix

Business Name

PEYTON R KELLER JR

Original Issue Date

03/19/1991

Effective Date

11/30/2015

Expiration Date

11/30/2017

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017