JORDAN ANN MILLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021237

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

ANN

Last Name

MILLER

Business Name

JORDAN ANN MILLER

Original Issue Date

05/07/2019

Effective Date

05/07/2019

Expiration Date

11/30/2019

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020