KELLY J DIAL Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007784

License Status

ACTIVE

Business

First Name

KELLY J

Last Name

DIAL

Business Name

KELLY J DIAL

Original Issue Date

09/04/1997

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

SPRINGFIELD

State

Zip

62711

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/11/2025