JACLYN A PETERSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150101785

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

Last Name

PETERSEN

Business Name

JACLYN A PETERSEN

Original Issue Date

06/28/2016

Effective Date

11/18/2019

Expiration Date

02/28/2022

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022