JADE AUTUMN SOUTH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149025912

License Status

ACTIVE

Business

First Name

JADE

Middle

AUTUMN

Last Name

SOUTH

Business Name

JADE AUTUMN SOUTH

Original Issue Date

09/20/2023

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/21/2025