JACK RANDOLPH FARLEY Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022772

License Status

ACTIVE

Business

First Name

JACK

Middle

RANDOLPH

Last Name

FARLEY

Business Name

JACK RANDOLPH FARLEY

Original Issue Date

11/18/2020

Effective Date

11/21/2025

Expiration Date

11/30/2027

City

ALSIP

State

Zip

60803

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/21/2025