| Name: | THE KENTUCKY PEER REVIEW BOARD OF HEALTH CARE PROVIDERS IN CLINICAL SOCIAL WORK, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Bad |
| Profit or Non-Profit: | Non-profit |
| File Date: | 21 Nov 1977 (47 years ago) |
| Organization Date: | 21 Nov 1977 (47 years ago) |
| Last Annual Report: | 05 Jul 1989 (36 years ago) |
| Organization Number: | 0084935 |
| ZIP code: | 42101 |
| City: | Bowling Green, Hadley, Plum Springs, Richardsville |
| Primary County: | Warren County |
| Principal Office: | 2530 SCOTTSVILLE RD., BOWLING GREEN, KY 42101 |
| Place of Formation: | KENTUCKY |
| Name | Role |
|---|---|
| BILL JETT | Director |
| ED WUNSCH | Director |
| JOHN TURNER | Director |
| JERRY KLOPFENSTEIN | Director |
| LANE VELTKAMP | Director |
| Name | Role |
|---|---|
| CHRISTINE D. SOWDERS, INC. | Registered Agent |
| Name | Role |
|---|---|
| BILL JETT | Incorporator |
| Name | File Date |
|---|---|
| Revocation of Certificate of Authority | 1990-11-01 |
| Sixty Day Notice | 1990-09-01 |
| Annual Report | 1989-07-01 |
Sources: Kentucky Secretary of State
