JEANETTE D TABB Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007670

License Status

NOT RENEWED

Business

First Name

JEANETTE D

Last Name

TABB

Business Name

JEANETTE D TABB

Original Issue Date

06/24/1997

Effective Date

12/18/2003

Expiration Date

11/30/2005

City

INDIANAPOLIS

State

Zip

46219

County

MARION

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005