KRISTINE J SULLIVAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018538

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

SULLIVAN

Business Name

KRISTINE J SULLIVAN

Original Issue Date

05/24/2016

Effective Date

10/23/2019

Expiration Date

02/28/2022

City

BLOOMINGTON

State

Zip

47403

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022