BETHANNE LYNNE JACKSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008112

License Status

NOT RENEWED

Business

First Name

BETHANNE

Middle

LYNNE

Last Name

JACKSON

Business Name

BETHANNE LYNNE JACKSON

Original Issue Date

03/16/2000

Effective Date

11/26/2003

Expiration Date

11/30/2005

City

GRANGER

State

Zip

46530

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006