KATHRYN ELAINE ROOSEVELT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149029981

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

ELAINE

Last Name

ROOSEVELT

Business Name

KATHRYN ELAINE ROOSEVELT

Original Issue Date

08/22/2025

Effective Date

08/22/2025

Expiration Date

11/30/2025

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Doctorate Degree

Ever Disciplined

LastModifiedDate

03/05/2026