ELLEN A JACKSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000553

License Status

INACTIVE

Business

First Name

ELLEN A

Last Name

JACKSON

Business Name

ELLEN A JACKSON

Original Issue Date

10/07/1989

Effective Date

10/16/2013

Expiration Date

11/30/2015

City

ARLINGTON HTS

State

Zip

60005

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015