JAIME LOU RUSSELL Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149023258

License Status

ACTIVE

Business

First Name

JAIME

Middle

LOU

Last Name

RUSSELL

Business Name

JAIME LOU RUSSELL

Original Issue Date

04/28/2021

Effective Date

11/11/2025

Expiration Date

11/30/2027

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/11/2025