FABIAN B. CHURCHILL Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150113927

License Status

ACTIVE

Business

First Name

FABIAN

Middle

Last Name

CHURCHILL

Business Name

FABIAN B. CHURCHILL

Original Issue Date

08/13/2024

Effective Date

11/04/2025

Expiration Date

11/30/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/04/2025