NICOLE DIANE BURK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016168

License Status

ACTIVE

Business

First Name

NICOLE

Middle

DIANE

Last Name

BURK

Business Name

NICOLE DIANE BURK

Original Issue Date

09/11/2013

Effective Date

11/05/2025

Expiration Date

11/30/2027

City

DUNLAP

State

Zip

61525

Ever Disciplined

LastModifiedDate

11/05/2025