KELLY A KALT Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010705

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

KALT

Business Name

KELLY A KALT

Original Issue Date

11/05/2003

Effective Date

11/04/2025

Expiration Date

11/30/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/04/2025