GAVRIELLA D BLASZKA Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016081

License Status

INACTIVE

Business

First Name

GAVRIELLA

Middle

Last Name

BLASZKA

Business Name

GAVRIELLA D BLASZKA

Original Issue Date

07/24/2013

Effective Date

11/01/2017

Expiration Date

11/30/2019

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2019