MELANIE R JACOBSON - Social Worker License in Illinois | # 149010799

MELANIE R JACOBSON

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010799

License Status

INACTIVE

Business

N

First Name

MELANIE

Middle

R

Last Name

JACOBSON

Business Name

MELANIE R JACOBSON

Original Issue Date

01/20/2004

Effective Date

01/20/2004

Expiration Date

11/30/2005

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

12/16/2005