MIRIAM A MIXON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009404

License Status

ACTIVE

Business

First Name

MIRIAM

Middle

Last Name

MIXON

Business Name

MIRIAM A MIXON

Original Issue Date

11/14/2000

Effective Date

10/03/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/03/2025