FAY E JACKSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010374

License Status

NOT RENEWED

Business

First Name

FAY

Middle

Last Name

JACKSON

Business Name

FAY E JACKSON

Original Issue Date

01/22/2003

Effective Date

10/11/2023

Expiration Date

11/30/2025

City

BATAVIA

State

Zip

60510

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026