JERRY T FOX Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000946

License Status

NOT RENEWED

Business

First Name

JERRY T

Last Name

FOX

Business Name

JERRY T FOX

Original Issue Date

12/22/1989

Effective Date

10/30/2017

Expiration Date

11/30/2019

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020