MARYELLEN L IVY Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149017060

License Status

ACTIVE

Business

First Name

MARYELLEN

Middle

Last Name

IVY

Business Name

MARYELLEN L IVY

Original Issue Date

10/15/2014

Effective Date

10/30/2025

Expiration Date

11/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/30/2025