TAKANORI MIZUTA Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001175

License Status

INACTIVE

Business

First Name

TAKANORI

Last Name

MIZUTA

Business Name

TAKANORI MIZUTA

Original Issue Date

12/22/1989

Expiration Date

11/30/1997

City

HOMEWOOD

State

Zip

60430

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005