DIANE ELIZABETH JACKSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149025876

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

ELIZABETH

Last Name

JACKSON

Business Name

DIANE ELIZABETH JACKSON

Original Issue Date

09/08/2023

Effective Date

09/08/2023

Expiration Date

11/30/2025

City

MIDLOTHIAN

State

Zip

23112

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026