LISA ELLEN BLOOM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150103757

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ELLEN

Last Name

BLOOM

Business Name

LISA ELLEN BLOOM

Original Issue Date

04/23/2019

Effective Date

12/02/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/05/2023