KIRSTEN M BOACHIE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012254

License Status

INACTIVE

Business

First Name

KIRSTEN

Middle

Last Name

BOACHIE

Business Name

KIRSTEN M BOACHIE

Original Issue Date

12/04/2006

Effective Date

11/06/2017

Expiration Date

11/30/2019

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019