PHYLLIS MITZEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001943

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

MITZEN

Business Name

PHYLLIS MITZEN

Original Issue Date

05/22/1990

Expiration Date

11/30/1999

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006