KELLY ALISE CLARK BURCHMAN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021383

License Status

ACTIVE

Business

First Name

KELLY

Middle

ALISE

Last Name

CLARK BURCHMAN

Business Name

KELLY ALISE CLARK BURCHMAN

Original Issue Date

06/25/2019

Effective Date

10/22/2025

Expiration Date

11/30/2027

City

SAINT LOUIS

State

Zip

63109

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/22/2025