KENNETH D JACOBSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003473

License Status

NOT RENEWED

Business

First Name

KENNETH D

Last Name

JACOBSON

Business Name

KENNETH D JACOBSON

Original Issue Date

04/09/1991

Effective Date

12/01/2003

Expiration Date

11/30/2005

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006