MELANIE R JACOBSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010799

License Status

INACTIVE

Business

First Name

MELANIE

Middle

Last Name

JACOBSON

Business Name

MELANIE R JACOBSON

Original Issue Date

01/20/2004

Effective Date

01/20/2004

Expiration Date

11/30/2005

City

SAN DIEGO

State

Zip

92129

County

CALIFORNIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005