MCKENZIE A SMITH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014681

License Status

NOT RENEWED

Business

First Name

MCKENZIE

Middle

Last Name

SMITH

Business Name

MCKENZIE A SMITH

Original Issue Date

04/13/2011

Effective Date

11/17/2015

Expiration Date

11/30/2017

City

CHATHAM

State

Zip

62629

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018