LISA ELLEN BLOOM - Social Worker License in Illinois | # 150103757

LISA ELLEN BLOOM

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150103757

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

ELLEN

Last Name

BLOOM

Business Name

LISA ELLEN BLOOM

Original Issue Date

04/23/2019

Effective Date

12/02/2019

Expiration Date

02/28/2022

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

12/05/2023