JANE GANFORD ROTH - Social Worker License in Illinois | # 149014738

JANE GANFORD ROTH

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014738

License Status

NOT RENEWED

Business

N

First Name

JANE

Middle

GANFORD

Last Name

ROTH

Business Name

JANE GANFORD ROTH

Original Issue Date

06/03/2011

Effective Date

11/18/2021

Expiration Date

11/30/2023

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

03/28/2024