KELLEY S STEWART Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007805

License Status

INACTIVE

Business

First Name

KELLEY S

Last Name

STEWART

Business Name

KELLEY S STEWART

Original Issue Date

09/10/1997

Effective Date

11/05/2003

Expiration Date

11/30/2005

City

GRAND RAPIDS

State

Zip

49546

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005