KELLY ANNE LONG Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027456

License Status

ACTIVE

Business

First Name

KELLY

Middle

ANNE

Last Name

LONG

Business Name

KELLY ANNE LONG

Original Issue Date

07/15/2024

Effective Date

12/01/2025

Expiration Date

11/30/2027

City

PLAINFIELD

State

Zip

60585

County

WILL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/01/2025