JERRY T SOUTA JR Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010613

License Status

INACTIVE

Business

First Name

JERRY

Middle

Last Name

SOUTA

Suffix

Business Name

JERRY T SOUTA JR

Original Issue Date

08/19/2003

Effective Date

02/15/2022

Expiration Date

11/30/2023

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2023