ANTHONY L JACOBS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004152

License Status

NOT RENEWED

Business

First Name

ANTHONY L

Last Name

JACOBS

Business Name

ANTHONY L JACOBS

Original Issue Date

12/17/1991

Effective Date

10/23/2019

Expiration Date

02/28/2022

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022