ANDREA YVETTE BLAYLOCK - Social Worker License in Missouri | # 149008354

ANDREA YVETTE BLAYLOCK

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008354

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

YVETTE

Last Name

BLAYLOCK

Business Name

ANDREA YVETTE BLAYLOCK

Original Issue Date

10/13/1998

Effective Date

11/04/2019

Expiration Date

02/28/2022

State

MO

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

07/27/2022