JAMITH LYNN PETERSEN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009449

License Status

ACTIVE

Business

First Name

JAMITH

Middle

LYNN

Last Name

PETERSEN

Business Name

JAMITH LYNN PETERSEN

Original Issue Date

12/19/2000

Effective Date

11/19/2025

Expiration Date

11/30/2027

City

LE ROY

State

Zip

61752

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/19/2025