MARLENE E PENNEKAMP Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008779

License Status

NOT RENEWED

Business

First Name

MARLENE

Middle

Last Name

PENNEKAMP

Business Name

MARLENE E PENNEKAMP

Original Issue Date

08/19/1999

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/07/2008