JACQUELYN H SHIELDS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000282

License Status

NOT RENEWED

Business

First Name

JACQUELYN H

Last Name

SHIELDS

Business Name

JACQUELYN H SHIELDS

Original Issue Date

10/07/1989

Expiration Date

11/30/1997

City

CHICAGQ

State

Zip

60619

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005