KEVIN M POLKY Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007794

License Status

ACTIVE

Business

First Name

KEVIN M

Last Name

POLKY

Business Name

KEVIN M POLKY

Original Issue Date

09/10/1997

Effective Date

11/10/2025

Expiration Date

11/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/10/2025