CANDACE KELLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004288

License Status

NOT RENEWED

Business

First Name

CANDACE

Last Name

KELLER

Business Name

CANDACE KELLER

Original Issue Date

12/17/1991

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006