JACQUELINE N JIMENEZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010521

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

JIMENEZ

Business Name

JACQUELINE N JIMENEZ

Original Issue Date

06/13/2003

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

FAYETTEVILLE

State

Zip

30215

County

GEORGIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016