KRISTINE K BLAIR Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000989

License Status

NOT RENEWED

Business

First Name

KRISTINE K

Last Name

BLAIR

Business Name

KRISTINE K BLAIR

Original Issue Date

12/22/1989

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

NEW BERLIN

State

Zip

53151

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016