RUSSELL BLAKE PATTERSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149021283

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

BLAKE

Last Name

PATTERSON

Business Name

RUSSELL BLAKE PATTERSON

Original Issue Date

05/21/2019

Effective Date

09/24/2019

Expiration Date

02/28/2022

City

TUCSON

State

Zip

85749

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022