JILL M PANTHER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009312

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

PANTHER

Business Name

JILL M PANTHER

Original Issue Date

09/29/2000

Effective Date

11/21/2013

Expiration Date

11/30/2015

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016