BLAKE A BULLOCK - Social Worker License in Illinois | # 149024395

BLAKE A BULLOCK

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149024395

License Status

ACTIVE

Business

N

First Name

BLAKE

Middle

A

Last Name

BULLOCK

Business Name

BLAKE A BULLOCK

Original Issue Date

03/16/2022

Effective Date

09/23/2025

Expiration Date

11/30/2027

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/23/2025