TIMOTHY JOSEPH BLAYLOCK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150011340

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

JOSEPH

Last Name

BLAYLOCK

Business Name

TIMOTHY JOSEPH BLAYLOCK

Original Issue Date

12/04/2007

Effective Date

10/14/2009

Expiration Date

11/30/2011

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

BACCALAUREATE

Ever Disciplined

LastModifiedDate

01/05/2012