KATHRYN MARIE SHACKELFORD Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008090

License Status

INACTIVE

Business

First Name

KATHRYN MARIE

Last Name

SHACKELFORD

Business Name

KATHRYN MARIE SHACKELFORD

Original Issue Date

05/01/1998

Effective Date

09/14/2011

Expiration Date

11/30/2013

City

CARY

State

Zip

60013

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2013