North Carolina
Secretary of State
Forquer, Jason Wayne
Social Workers - Licensed Clinical Social Worker
License number
C006821
Date granted
06/04/2010
Date expires
06/30/2016
Class
Social Workers - Licensed Clinical Social Worker
Status
Current
Address
Mascoutah, IL
licensingnc.com
ID 19200507
LAST UPDATED 2026-07-04 21:25:32 UTC
LAST UPDATED 2026-07-04 21:25:32 UTC
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