KOURTNEY MICHELLE SOUTHWORTH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020997

License Status

ACTIVE

Business

First Name

KOURTNEY

Middle

MICHELLE

Last Name

SOUTHWORTH

Business Name

KOURTNEY MICHELLE SOUTHWORTH

Original Issue Date

02/25/2019

Effective Date

11/10/2025

Expiration Date

11/30/2027

City

MARSHALL

State

Zip

62441

County

CLARK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/10/2025