TERA MARIE MIATKE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012937

License Status

NOT RENEWED

Business

First Name

TERA

Middle

MARIE

Last Name

MIATKE

Business Name

TERA MARIE MIATKE

Original Issue Date

03/07/2008

Effective Date

10/14/2011

Expiration Date

11/30/2013

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014