NICOLE E RUNDALL-ROYAL Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021663

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

RUNDALL-ROYAL

Business Name

NICOLE E RUNDALL-ROYAL

Original Issue Date

10/01/2019

Effective Date

11/28/2025

Expiration Date

11/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/28/2025