KELLY M FERGUSON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014540

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

FERGUSON

Business Name

KELLY M FERGUSON

Original Issue Date

12/30/2010

Effective Date

11/21/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60655

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/21/2025