KELLY LEE LAURSEN PERALES Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008262

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LEE

Last Name

LAURSEN PERALES

Business Name

KELLY LEE LAURSEN PERALES

Original Issue Date

08/20/1998

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

MOOSEHEART

State

Zip

60539

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010