JEROME J FRAZIER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004768

License Status

INACTIVE

Business

First Name

JEROME J

Last Name

FRAZIER

Business Name

JEROME J FRAZIER

Original Issue Date

04/07/1992

Effective Date

10/20/2003

Expiration Date

11/30/2005

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

12/16/2005