JILL MICHELLE FRAZIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008677

License Status

NOT RENEWED

Business

First Name

JILL

Middle

MICHELLE

Last Name

FRAZIN

Business Name

JILL MICHELLE FRAZIN

Original Issue Date

06/08/1999

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

EVANSTON

State

Zip

60204

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008