DENNIS A BLUM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004228

License Status

NOT RENEWED

Business

First Name

DENNIS A

Last Name

BLUM

Business Name

DENNIS A BLUM

Original Issue Date

12/17/1991

Expiration Date

11/30/1995

City

MONROE

State

Zip

53566

County

WISCONSIN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005