MELONIE ELIZABETH BLAIR Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011737

License Status

NOT RENEWED

Business

First Name

MELONIE

Middle

ELIZABETH

Last Name

BLAIR

Business Name

MELONIE ELIZABETH BLAIR

Original Issue Date

01/04/2006

Effective Date

01/04/2006

Expiration Date

11/30/2007

City

PERCY

State

Zip

62272

County

RANDOLPH

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008