License holder summary

KELLI D FORMAN is a Counselor, Social Worker, & Marriage & Family Therapist Bd - S.Social Worker licensed to practice in Ohio. This licensed professional license is not current. The license was granted 09/20/2002 and expired on 09/20/2004.

Ohio

Board of Licensing

KELLI D FORMAN
Counselor, Social Worker, & Marriage & Family Therapist Bd - S.Social Worker
License number
S.0029918
Date granted
09/20/2002
Date expires
09/20/2004
Class
Counselor, Social Worker, & Marriage & Family Therapist Bd - S.Social Worker
Status
Expired
ohiolicensing.org
ID 28764265
LAST UPDATED 2026-04-18 17:45:06 UTC

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