JEANETTE MARIE REPP Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010085

License Status

NOT RENEWED

Business

First Name

JEANETTE

Middle

MARIE

Last Name

REPP

Business Name

JEANETTE MARIE REPP

Original Issue Date

05/10/2002

Effective Date

09/02/2009

Expiration Date

11/30/2011

City

SAN PEDRO

State

Zip

90731

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012