SANDRA SUSAN BLAZEK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149023801

License Status

ACTIVE

Business

First Name

SANDRA

Middle

SUSAN

Last Name

BLAZEK

Business Name

SANDRA SUSAN BLAZEK

Original Issue Date

09/22/2021

Effective Date

09/14/2025

Expiration Date

11/30/2027

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/14/2025