MARK H JACOBSEN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006687

License Status

ACTIVE

Business

First Name

MARK H

Last Name

JACOBSEN

Business Name

MARK H JACOBSEN

Original Issue Date

09/28/1995

Effective Date

11/02/2025

Expiration Date

11/30/2027

City

LAKE VILLA

State

Zip

60046

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/02/2025