MIRIAM COOPER JACOBSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003360

License Status

NOT RENEWED

Business

First Name

MIRIAM COOPER

Last Name

JACOBSON

Business Name

MIRIAM COOPER JACOBSON

Original Issue Date

03/29/1991

Effective Date

01/30/2014

Expiration Date

11/30/2015

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016