LISA R KEMPLIN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003888

License Status

INACTIVE

Business

First Name

LISA R

Last Name

KEMPLIN

Business Name

LISA R KEMPLIN

Original Issue Date

09/03/1991

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007