MIRIAM A MIXON - Social Worker License in Illinois | # 149009404

MIRIAM A MIXON

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009404

License Status

ACTIVE

Business

N

First Name

MIRIAM

Middle

A

Last Name

MIXON

Business Name

MIRIAM A MIXON

Original Issue Date

11/14/2000

Effective Date

10/03/2025

Expiration Date

11/30/2027

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

10/03/2025