KENNETH R TAYLOR Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004725

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

TAYLOR

Business Name

KENNETH R TAYLOR

Original Issue Date

04/03/1992

Effective Date

02/27/2022

Expiration Date

11/30/2023

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024