L JAY LEATHERMAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009608

License Status

NOT RENEWED

Business

First Name

Middle

JAY

Last Name

LEATHERMAN

Business Name

L JAY LEATHERMAN

Original Issue Date

05/21/2001

Effective Date

10/20/2009

Expiration Date

11/30/2011

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012