COLLEEN M BLAKE Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180006483

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

Last Name

BLAKE

Business Name

COLLEEN M BLAKE

Original Issue Date

06/05/2007

Effective Date

03/14/2025

Expiration Date

03/31/2027

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/06/2025