NICOLE A KELLEY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009422

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

KELLEY

Business Name

NICOLE A KELLEY

Original Issue Date

10/10/2003

Effective Date

10/01/2004

Expiration Date

11/30/2005

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005