KRISTIE M FULKERSON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013537

License Status

ACTIVE

Business

First Name

KRISTIE

Middle

Last Name

FULKERSON

Business Name

KRISTIE M FULKERSON

Original Issue Date

04/01/2009

Effective Date

10/06/2025

Expiration Date

11/30/2027

City

WORDEN

State

Zip

62097

County

CLINTON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/06/2025