MARCIA E BLASSAGE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150003388

License Status

INACTIVE

Business

First Name

MARCIA E

Last Name

BLASSAGE

Business Name

MARCIA E BLASSAGE

Original Issue Date

04/28/1990

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

BACCALAUREATE

Ever Disciplined

LastModifiedDate

09/05/2007