JAN GREEN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007493

License Status

INACTIVE

Business

First Name

JAN

Last Name

GREEN

Business Name

JAN GREEN

Original Issue Date

03/03/1997

Effective Date

01/19/2022

Expiration Date

11/30/2023

City

HARTFORD

State

Zip

62048

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

08/31/2023