JILL BLANK - Social Worker License in Illinois | # 149003320

JILL BLANK

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003320

License Status

NOT RENEWED

Business

N

First Name

JILL

Last Name

BLANK

Business Name

JILL BLANK

Original Issue Date

03/29/1991

Effective Date

07/19/2010

Expiration Date

11/30/2011

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

01/05/2012