MICHAEL T PETERSON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019164

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

PETERSON

Business Name

MICHAEL T PETERSON

Original Issue Date

02/23/2017

Effective Date

11/09/2025

Expiration Date

11/30/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/09/2025