BRETT MICHAEL SIEGEL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015603

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

MICHAEL

Last Name

SIEGEL

Business Name

BRETT MICHAEL SIEGEL

Original Issue Date

11/20/2012

Effective Date

10/02/2017

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020