KIMBERLY KAY BASKIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012331

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

KAY

Last Name

BASKIN

Business Name

KIMBERLY KAY BASKIN

Original Issue Date

02/01/2007

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016