KATHY B MILLER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004151

License Status

INACTIVE

Business

First Name

KATHY B

Last Name

MILLER

Business Name

KATHY B MILLER

Original Issue Date

12/17/1991

Effective Date

11/01/2011

Expiration Date

11/30/2013

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2013