MARK LEO GREBENER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150008947

License Status

NOT RENEWED

Business

First Name

MARK

Middle

LEO

Last Name

GREBENER

Business Name

MARK LEO GREBENER

Original Issue Date

07/08/2002

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006