KIMBERLY J TERRY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009203

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

TERRY

Business Name

KIMBERLY J TERRY

Original Issue Date

06/22/2000

Effective Date

10/13/2015

Expiration Date

11/30/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017