JAY STEVEN ROTH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013563

License Status

ACTIVE

Business

First Name

JAY

Middle

STEVEN

Last Name

ROTH

Business Name

JAY STEVEN ROTH

Original Issue Date

04/15/2009

Effective Date

09/18/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/18/2025