JEFFREY P FORD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013184

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

FORD

Business Name

JEFFREY P FORD

Original Issue Date

08/13/2008

Effective Date

08/13/2008

Expiration Date

11/30/2009

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010