SCOTT D MIMS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008980

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

MIMS

Business Name

SCOTT D MIMS

Original Issue Date

02/08/2000

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

CHICAGO

State

Zip

60653

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006