AUDREY M JACOBS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000511

License Status

INACTIVE

Business

First Name

AUDREY M

Last Name

JACOBS

Business Name

AUDREY M JACOBS

Original Issue Date

10/07/1989

Expiration Date

11/30/1997

City

TAMPA

State

Zip

33647

County

FLORIDA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005