MICHELLE RENEE SOUTHEY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150011989

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

RENEE

Last Name

SOUTHEY

Business Name

MICHELLE RENEE SOUTHEY

Original Issue Date

03/31/2009

Effective Date

11/09/2009

Expiration Date

11/30/2011

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012