KIMBERLY B SMITH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011016

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

SMITH

Business Name

KIMBERLY B SMITH

Original Issue Date

07/02/2004

Effective Date

12/02/2019

Expiration Date

02/28/2022

City

MARSHALL

State

Zip

62441

County

CLARK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022

Case Number

2021008146

Action

Suspension

Discipline Start Date

12/13/2021

Discipline End Date

01/19/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/20/2022.