GREGORY L MARTIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002938

License Status

NOT RENEWED

Business

First Name

GREGORY L

Last Name

MARTIN

Business Name

GREGORY L MARTIN

Original Issue Date

12/18/1990

Effective Date

11/14/2013

Expiration Date

11/30/2015

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016