CARMA J BLACKBURN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008707

License Status

NOT RENEWED

Business

First Name

CARMA

Middle

Last Name

BLACKBURN

Business Name

CARMA J BLACKBURN

Original Issue Date

07/02/1999

Effective Date

09/29/2009

Expiration Date

11/30/2011

City

FOUNTAIN HILLS

State

Zip

85268

County

ARIZONA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012