KELLY M BRADHAM Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007913

License Status

ACTIVE

Business

First Name

KELLY M

Last Name

BRADHAM

Business Name

KELLY M BRADHAM

Original Issue Date

11/18/1997

Effective Date

11/06/2025

Expiration Date

11/30/2027

City

CHAMPAIGN

State

Zip

61820

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/06/2025