KATHERINE A INGRAHAM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011322

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

INGRAHAM

Business Name

KATHERINE A INGRAHAM

Original Issue Date

03/11/2005

Effective Date

11/13/2019

Expiration Date

02/28/2022

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022