NIRANDONE KINGPAVONG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149026677

License Status

NOT RENEWED

Business

First Name

NIRANDONE

Last Name

KINGPAVONG

Business Name

NIRANDONE KINGPAVONG

Original Issue Date

02/27/2024

Effective Date

02/27/2024

Expiration Date

11/30/2025

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026