THOMAS G MIEBACH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015594

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

MIEBACH

Business Name

THOMAS G MIEBACH

Original Issue Date

11/20/2012

Effective Date

11/08/2025

Expiration Date

11/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/08/2025