KELLI SUZANNE FULTZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013818

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

SUZANNE

Last Name

FULTZ

Business Name

KELLI SUZANNE FULTZ

Original Issue Date

09/15/2009

Effective Date

01/13/2024

Expiration Date

11/30/2025

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026