MICHELLE A PETERSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007658

License Status

NOT RENEWED

Business

First Name

MICHELLE A

Last Name

PETERSEN

Business Name

MICHELLE A PETERSEN

Original Issue Date

06/18/1997

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

ELGIN

State

Zip

60120

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006