JACK D CROOK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004747

License Status

INACTIVE

Business

First Name

JACK D

Last Name

CROOK

Business Name

JACK D CROOK

Original Issue Date

04/03/1992

Expiration Date

11/30/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005