KATHY L BLASINGAME-MARTIN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006450

License Status

INACTIVE

Business

First Name

KATHY L

Last Name

BLASINGAME-MARTIN

Business Name

KATHY L BLASINGAME-MARTIN

Original Issue Date

02/28/1996

Effective Date

12/10/2003

Expiration Date

11/30/2003

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Specialty/Qualifier

BACCALAUREATE

Ever Disciplined

LastModifiedDate

12/16/2005