COLLEEN M BLAKE Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178003733

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

BLAKE

Business Name

COLLEEN M BLAKE

Original Issue Date

06/10/2005

Effective Date

04/01/2007

Expiration Date

03/31/2009

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2009