SUSAN ANN JACKSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020867

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ANN

Last Name

JACKSON

Business Name

SUSAN ANN JACKSON

Original Issue Date

01/17/2019

Effective Date

09/21/2023

Expiration Date

11/30/2025

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026