MICKIE G KIRSCHBAUM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001103

License Status

NOT RENEWED

Business

First Name

MICKIE G

Last Name

KIRSCHBAUM

Business Name

MICKIE G KIRSCHBAUM

Original Issue Date

12/22/1989

Effective Date

11/16/2015

Expiration Date

11/30/2017

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018