MICHELLE M PEREZ Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011641

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

PEREZ

Business Name

MICHELLE M PEREZ

Original Issue Date

10/14/2005

Effective Date

10/14/2005

Expiration Date

11/30/2007

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007