MILDRED G BLANKENBURG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006560

License Status

NOT RENEWED

Business

First Name

MILDRED G

Last Name

BLANKENBURG

Business Name

MILDRED G BLANKENBURG

Original Issue Date

07/19/1995

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008