KEITH T FOWLER - Social Worker License in Illinois | # 150011069

KEITH T FOWLER

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150011069

License Status

INACTIVE

Business

N

First Name

KEITH

Middle

T

Last Name

FOWLER

Business Name

KEITH T FOWLER

Original Issue Date

06/06/2007

Effective Date

09/08/2009

Expiration Date

11/30/2011

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/07/2011