REBECCA S CONLEY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004759

License Status

INACTIVE

Business

First Name

REBECCA S

Last Name

CONLEY

Business Name

REBECCA S CONLEY

Original Issue Date

04/07/1992

Effective Date

12/01/2003

Expiration Date

11/30/2005

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005