ANNE B GRONBACH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000992

License Status

INACTIVE

Business

First Name

ANNE B

Last Name

GRONBACH

Business Name

ANNE B GRONBACH

Original Issue Date

12/22/1989

Effective Date

10/30/2003

Expiration Date

11/30/2005

City

STERLING

State

Zip

61081

County

WHITESIDE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005