TAKANORI MIZUTA - Social Worker License in Illinois | # 149001175

TAKANORI MIZUTA

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001175

License Status

INACTIVE

Business

N

First Name

TAKANORI

Last Name

MIZUTA

Business Name

TAKANORI MIZUTA

Original Issue Date

12/22/1989

Expiration Date

11/30/1997

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

12/16/2005