JAY T WILLIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002849

License Status

NOT RENEWED

Business

First Name

JAY T

Last Name

WILLIS

Business Name

JAY T WILLIS

Original Issue Date

12/14/1990

Expiration Date

11/30/1995

City

MATTESON

State

Zip

60443

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005