BLAKE DISMUKE BOX Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150113237

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

DISMUKE

Last Name

BOX

Business Name

BLAKE DISMUKE BOX

Original Issue Date

02/13/2024

Effective Date

02/13/2024

Expiration Date

11/30/2025

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026