CHRISTINE M PELLENZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021282

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

PELLENZ

Business Name

CHRISTINE M PELLENZ

Original Issue Date

05/21/2019

Effective Date

05/21/2019

Expiration Date

11/30/2019

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020