SUSAN KATHLEEN KELLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018211

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

KATHLEEN

Last Name

KELLER

Business Name

SUSAN KATHLEEN KELLER

Original Issue Date

01/06/2016

Effective Date

10/03/2019

Expiration Date

02/28/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022