JENNIFER BROOKE EVANS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009538

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

BROOKE

Last Name

EVANS

Business Name

JENNIFER BROOKE EVANS

Original Issue Date

03/29/2001

Effective Date

09/30/2005

Expiration Date

11/30/2007

City

ROCKFORD

State

Zip

49341

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005