JEFFREY G LARSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012296

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

LARSON

Business Name

JEFFREY G LARSON

Original Issue Date

01/17/2007

Effective Date

11/24/2015

Expiration Date

11/30/2017

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018