DAVID STEVEN BLYTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150007999

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

STEVEN

Last Name

BLYTH

Business Name

DAVID STEVEN BLYTH

Original Issue Date

12/22/1999

Effective Date

12/10/2021

Expiration Date

11/30/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024