JILL ANN JOHNSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013449

License Status

NOT RENEWED

Business

First Name

JILL

Middle

ANN

Last Name

JOHNSON

Business Name

JILL ANN JOHNSON

Original Issue Date

02/23/2009

Effective Date

11/02/2009

Expiration Date

11/30/2011

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012