JANE GANFORD ROTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014738

License Status

NOT RENEWED

Business

First Name

JANE

Middle

GANFORD

Last Name

ROTH

Business Name

JANE GANFORD ROTH

Original Issue Date

06/03/2011

Effective Date

11/18/2021

Expiration Date

11/30/2023

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024