KIMBERLEY MICHELE BLACKWELL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150007768

License Status

NOT RENEWED

Business

First Name

KIMBERLEY

Middle

MICHELE

Last Name

BLACKWELL

Business Name

KIMBERLEY MICHELE BLACKWELL

Original Issue Date

06/07/1999

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006