MIKE P HOMAN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004407

License Status

NOT RENEWED

Business

First Name

MIKE P

Last Name

HOMAN

Business Name

MIKE P HOMAN

Original Issue Date

12/17/1991

Effective Date

09/04/2019

Expiration Date

02/28/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022