STACY A JACKSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009266

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

JACKSON

Business Name

STACY A JACKSON

Original Issue Date

05/16/2003

Effective Date

10/27/2003

Expiration Date

11/30/2005

City

CHICAGO

State

Zip

60601

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006