JERRY T SOUTA JR Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008728

License Status

INACTIVE

Business

First Name

JERRY

Middle

Last Name

SOUTA

Suffix

Business Name

JERRY T SOUTA JR

Original Issue Date

01/04/2002

Effective Date

01/07/2004

Expiration Date

11/30/2003

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005