DAVID D BLAKE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150003595

License Status

NOT RENEWED

Business

First Name

DAVID D

Last Name

BLAKE

Business Name

DAVID D BLAKE

Original Issue Date

07/31/1990

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

NORTH AURORA

State

Zip

60542

County

KANE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006