KENNETH A BLOYD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010507

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

BLOYD

Business Name

KENNETH A BLOYD

Original Issue Date

05/30/2003

Effective Date

12/01/2017

Expiration Date

11/30/2019

City

CANTON

State

Zip

61520

County

FULTON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020