TALLERI B MCKENNA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011603

License Status

NOT RENEWED

Business

First Name

TALLERI

Middle

Last Name

MCKENNA

Business Name

TALLERI B MCKENNA

Original Issue Date

10/07/2005

Effective Date

12/21/2021

Expiration Date

11/30/2023

City

GREEN BAY

State

Zip

54301

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024