GAIL W TENNANT Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006510

License Status

INACTIVE

Business

First Name

GAIL W

Last Name

TENNANT

Business Name

GAIL W TENNANT

Original Issue Date

06/15/1995

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007