ANDREA YVETTE BLAYLOCK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150006906

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

YVETTE

Last Name

BLAYLOCK

Business Name

ANDREA YVETTE BLAYLOCK

Original Issue Date

01/27/1997

Expiration Date

11/30/1997

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005