JEAN A FARRIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009336

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

Last Name

FARRIS

Business Name

JEAN A FARRIS

Original Issue Date

10/06/2000

Effective Date

12/05/2013

Expiration Date

11/30/2015

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016