ASHLEY KAY HEATHERMAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014701

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

KAY

Last Name

HEATHERMAN

Business Name

ASHLEY KAY HEATHERMAN

Original Issue Date

05/10/2011

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020