JACQUELINE M POWERS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005726

License Status

INACTIVE

Business

First Name

JACQUELINE M

Last Name

POWERS

Business Name

JACQUELINE M POWERS

Original Issue Date

12/09/1993

Effective Date

11/07/2003

Expiration Date

11/30/2005

City

WILDWOOD

State

Zip

60030

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005