SUSAN C MIETH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001621

License Status

INACTIVE

Business

First Name

SUSAN C

Last Name

MIETH

Business Name

SUSAN C MIETH

Original Issue Date

04/28/1990

Effective Date

12/09/2003

Expiration Date

11/30/2003

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005