MARCIA M JURGENS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004051

License Status

INACTIVE

Business

First Name

MARCIA M

Last Name

JURGENS

Business Name

MARCIA M JURGENS

Original Issue Date

10/16/1991

Effective Date

11/05/2003

Expiration Date

11/30/2005

City

ARTHUR

State

Zip

61911

County

MOULTRIE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005