TERESA L ILLUM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150012658

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

Last Name

ILLUM

Business Name

TERESA L ILLUM

Original Issue Date

08/18/2010

Effective Date

11/16/2017

Expiration Date

11/30/2019

City

WEST POINT

State

Zip

40177

County

KENTUCKY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020