KEITH T FOWLER - Social Worker License in Illinois | # 149014889

KEITH T FOWLER

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014889

License Status

ACTIVE

Business

N

First Name

KEITH

Middle

T

Last Name

FOWLER

Business Name

KEITH T FOWLER

Original Issue Date

09/08/2011

Effective Date

09/11/2025

Expiration Date

11/30/2027

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/11/2025