HOLLY GILL JACOBS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011819

License Status

INACTIVE

Business

First Name

HOLLY

Middle

GILL

Last Name

JACOBS

Business Name

HOLLY GILL JACOBS

Original Issue Date

03/03/2006

Effective Date

09/21/2009

Expiration Date

11/30/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011