TALLERI B MCKENNA Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150009379

License Status

INACTIVE

Business

First Name

TALLERI

Middle

Last Name

MCKENNA

Business Name

TALLERI B MCKENNA

Original Issue Date

09/22/2003

Effective Date

09/22/2003

Expiration Date

11/30/2005

City

GREEN BAY

State

Zip

54301

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005