CATHY ELLEN BLAUSTEIN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010654

License Status

NOT RENEWED

Business

First Name

CATHY

Middle

ELLEN

Last Name

BLAUSTEIN

Business Name

CATHY ELLEN BLAUSTEIN

Original Issue Date

10/06/2003

Effective Date

10/06/2003

Expiration Date

11/30/2005

City

BARRINGTON

State

Zip

60010

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006