DANA MARIE MILLER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011546

License Status

INACTIVE

Business

First Name

DANA

Middle

MARIE

Last Name

MILLER

Business Name

DANA MARIE MILLER

Original Issue Date

09/12/2005

Effective Date

10/08/2019

Expiration Date

02/28/2022

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/23/2021