LARK N KIRCHNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006660

License Status

NOT RENEWED

Business

First Name

LARK N

Last Name

KIRCHNER

Business Name

LARK N KIRCHNER

Original Issue Date

09/12/1995

Effective Date

11/30/2015

Expiration Date

11/30/2017

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018