DIANE P BLOCK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006028

License Status

INACTIVE

Business

First Name

DIANE P

Last Name

BLOCK

Business Name

DIANE P BLOCK

Original Issue Date

07/11/1994

Effective Date

09/15/2009

Expiration Date

11/30/2011

City

RIVERWOODS

State

Zip

60015

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011