JODI L THEOBALD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010419

License Status

NOT RENEWED

Business

First Name

JODI

Middle

Last Name

THEOBALD

Business Name

JODI L THEOBALD

Original Issue Date

02/28/2003

Effective Date

12/02/2011

Expiration Date

11/30/2013

City

BRENTWOOD

State

Zip

37027

County

TENNESSEE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014