MICHAEL D EISNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007484

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

EISNER

Suffix

Business Name

MICHAEL D EISNER

Original Issue Date

03/03/1997

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006