DONNA LEE BLACHE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010444

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

LEE

Last Name

BLACHE

Business Name

DONNA LEE BLACHE

Original Issue Date

03/21/2003

Effective Date

11/12/2015

Expiration Date

11/30/2017

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018