KELLY E JACOBSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010715

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

JACOBSON

Business Name

KELLY E JACOBSON

Original Issue Date

08/11/2006

Effective Date

11/17/2009

Expiration Date

11/30/2011

City

PINGREE GROVE

State

Zip

60140

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012