GWEN L GROENEWOLD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149015456

License Status

NOT RENEWED

Business

First Name

GWEN L

Last Name

GROENEWOLD

Business Name

GWEN L GROENEWOLD

Original Issue Date

08/29/2012

Effective Date

01/27/2022

Expiration Date

11/30/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024