MIRIAM THERESA CORLETT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014431

License Status

NOT RENEWED

Business

First Name

MIRIAM

Middle

THERESA

Last Name

CORLETT

Business Name

MIRIAM THERESA CORLETT

Original Issue Date

11/05/2010

Effective Date

09/14/2011

Expiration Date

11/30/2013

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014