MICHAEL L BLY Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003441

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

BLY

Business Name

MICHAEL L BLY

Original Issue Date

04/05/1991

Effective Date

11/26/2013

Expiration Date

11/30/2015

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016