KELLY J DIAL Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006122

License Status

INACTIVE

Business

First Name

KELLY J

Last Name

DIAL

Business Name

KELLY J DIAL

Original Issue Date

08/03/1995

Expiration Date

11/30/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005