MICHELLE RENEE SOUTHEY Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014689

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

RENEE

Last Name

SOUTHEY

Business Name

MICHELLE RENEE SOUTHEY

Original Issue Date

04/20/2011

Effective Date

11/23/2025

Expiration Date

11/30/2027

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/23/2025