JILLIAN ANTOINETTE THERYON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149024437

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

ANTOINETTE

Last Name

THERYON

Business Name

JILLIAN ANTOINETTE THERYON

Original Issue Date

03/29/2022

Effective Date

03/29/2022

Expiration Date

11/30/2023

City

CHANTILLY

State

Zip

20151

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024