KIMBERLY WYNN BOLAND-PROM Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011568

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

WYNN

Last Name

BOLAND-PROM

Business Name

KIMBERLY WYNN BOLAND-PROM

Original Issue Date

09/19/2005

Effective Date

09/15/2025

Expiration Date

11/30/2027

City

MONEE

State

Zip

60449

County

WILL

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

09/15/2025