JERRY T SOUTA JR - Social Worker License in Illinois | # 149010613

JERRY T SOUTA JR

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010613

License Status

INACTIVE

Business

N

First Name

JERRY

Middle

T

Last Name

SOUTA

Suffix

JR

Business Name

JERRY T SOUTA JR

Original Issue Date

08/19/2003

Effective Date

02/15/2022

Expiration Date

11/30/2023

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/02/2023