ROSS C JACOB Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011193

License Status

ACTIVE

Business

First Name

ROSS

Middle

Last Name

JACOB

Business Name

ROSS C JACOB

Original Issue Date

11/08/2004

Effective Date

10/04/2025

Expiration Date

11/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/04/2025