MARK H JACOBSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150004618

License Status

NOT RENEWED

Business

First Name

MARK H

Last Name

JACOBSEN

Business Name

MARK H JACOBSEN

Original Issue Date

08/04/1992

Expiration Date

11/30/1995

City

LAKE VILLA

State

Zip

60046

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005