JILL M FORMAN
Social Work - Graduate Social Worker
District of Columbia LG101255 Expired
This District of Columbia license was held by JILL M FORMAN. The license is no longer active. It was granted on 09/18/1995 and expired on 07/31/1997
LICENSE DETAILS
- License Number: LG101255
- Category: GRADUATE SOCIAL WORKER
- Status: Expired
- Date Granted: 09/18/1995 (almost 31 years ago)
- Expiry Date: 07/31/1997 (about 29 years ago)
LOCATIONS
A Business Address
11656 MONTANA AVE, APT 202, LOS ANGELES CA 90049-4639