MELISSA L JACOBSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009062

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

JACOBSEN

Business Name

MELISSA L JACOBSEN

Original Issue Date

09/24/2002

Effective Date

12/01/2003

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006