DAVID BLACKSTONE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008904

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

BLACKSTONE

Business Name

DAVID BLACKSTONE

Original Issue Date

12/09/1999

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

PHOENIX

State

Zip

85020

County

ARIZONA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010