Registered Clinical Social Worker Intern
Kelli D Forman
Lakeland, Polk County
Not currently licensed
Null and void · expired Mar 31, 2011
Registered Clinical Social Worker Intern license ISW4160
- License number
- ISW4160
- Status
- Null and void
- First licensed
- Apr 18, 2006
- Status since
- Mar 24, 2011
- Expires
- Mar 31, 2011
- Licensed by
- Florida Department of Health (DOH)
Other Florida licenses under this name in Lakeland
Matched by the same name in the same city only. They may belong to Kelli D Forman or to someone else with the same name; check the license numbers if it matters.
About this license
Kelli D Forman held a registered clinical social worker intern license from the Florida Department of Health (DOH), number ISW4160. It was first issued on Apr 18, 2006. The state lists its status as “Null and void”, and it expired on Mar 31, 2011. The city of record is Lakeland, Polk County.