KEELY MICHELLE FORD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018776

License Status

NOT RENEWED

Business

First Name

KEELY

Middle

MICHELLE

Last Name

FORD

Business Name

KEELY MICHELLE FORD

Original Issue Date

08/31/2016

Effective Date

09/11/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022