STEPHANIE S MALENCH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149014002

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MALENCH

Business Name

STEPHANIE S MALENCH

Original Issue Date

12/24/2009

Effective Date

10/27/2015

Expiration Date

11/30/2017

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018