JODY L POULTNEY Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013689

License Status

ACTIVE

Business

First Name

JODY

Middle

Last Name

POULTNEY

Business Name

JODY L POULTNEY

Original Issue Date

07/01/2009

Effective Date

11/06/2025

Expiration Date

11/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/06/2025