DAVID BLACKSTONE - Social Worker License in Arizona | # 149008904

DAVID BLACKSTONE

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008904

License Status

NOT RENEWED

Business

N

First Name

DAVID

Last Name

BLACKSTONE

Business Name

DAVID BLACKSTONE

Original Issue Date

12/09/1999

Effective Date

12/01/2007

Expiration Date

11/30/2009

State

AZ

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/07/2010