DAVID B MILLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006909

License Status

NOT RENEWED

Business

First Name

DAVID B

Last Name

MILLER

Business Name

DAVID B MILLER

Original Issue Date

02/27/1996

Effective Date

10/27/2009

Expiration Date

11/30/2011

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012