JERRY LYNN DOUGLAS Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011257

License Status

ACTIVE

Business

First Name

JERRY

Middle

LYNN

Last Name

DOUGLAS

Business Name

JERRY LYNN DOUGLAS

Original Issue Date

12/29/2004

Effective Date

09/13/2025

Expiration Date

11/30/2027

City

CASA GRANDE

State

Zip

85122

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/13/2025