KIMBERLY M MILLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010256

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

MILLER

Business Name

KIMBERLY M MILLER

Original Issue Date

09/20/2002

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008