KANDACE P ROTH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149023565

License Status

ACTIVE

Business

First Name

KANDACE

Middle

Last Name

ROTH

Business Name

KANDACE P ROTH

Original Issue Date

07/26/2021

Effective Date

10/24/2025

Expiration Date

11/30/2027

City

CONGERVILLE

State

Zip

61729

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/24/2025