AMY LYNNE BLACKFORD Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018016

License Status

INACTIVE

Business

First Name

AMY

Middle

LYNNE

Last Name

BLACKFORD

Business Name

AMY LYNNE BLACKFORD

Original Issue Date

10/06/2015

Effective Date

10/06/2015

Expiration Date

11/30/2017

City

ST CHARLES

State

Zip

60175

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017