MICHELE KATHLEEN BLASER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006499

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

KATHLEEN

Last Name

BLASER

Business Name

MICHELE KATHLEEN BLASER

Original Issue Date

04/10/1996

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006