TRACY L PULLIAM Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011563

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

PULLIAM

Business Name

TRACY L PULLIAM

Original Issue Date

09/16/2005

Effective Date

10/06/2025

Expiration Date

11/30/2027

City

MT PULASKI

State

Zip

62548

County

LOGAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/06/2025