MCKELVIE JACKSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008801

License Status

NOT RENEWED

Business

First Name

MCKELVIE

Last Name

JACKSON

Business Name

MCKELVIE JACKSON

Original Issue Date

09/02/1999

Effective Date

12/04/2017

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020