MICHAEL E BENNETT Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005509

License Status

INACTIVE

Business

First Name

MICHAEL E

Last Name

BENNETT

Business Name

MICHAEL E BENNETT

Original Issue Date

07/19/1993

Effective Date

10/30/2001

Expiration Date

11/30/2001

City

PEORIA

State

Zip

61606

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005