GERALD KEITH BROTHERIDGE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013254

License Status

ACTIVE

Business

First Name

GERALD

Middle

KEITH

Last Name

BROTHERIDGE

Business Name

GERALD KEITH BROTHERIDGE

Original Issue Date

09/22/2008

Effective Date

11/25/2025

Expiration Date

11/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/25/2025