MARK LEO GREBENER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010487

License Status

INACTIVE

Business

First Name

MARK

Middle

LEO

Last Name

GREBENER

Business Name

MARK LEO GREBENER

Original Issue Date

05/05/2003

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

APO

State

Zip

09180

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007