JANE T SIEGAL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004397

License Status

NOT RENEWED

Business

First Name

JANE T

Last Name

SIEGAL

Business Name

JANE T SIEGAL

Original Issue Date

12/17/1991

Effective Date

10/03/2003

Expiration Date

11/30/2005

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006