ALEXIS EVAUGHN TANAKA Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028319

License Status

ACTIVE

Business

First Name

ALEXIS

Middle

EVAUGHN

Last Name

TANAKA

Business Name

ALEXIS EVAUGHN TANAKA

Original Issue Date

12/03/2024

Effective Date

09/21/2025

Expiration Date

11/30/2027

City

NORMAL

State

Zip

61761

Specialty/Qualifier

Master's Degree

Ever Disciplined

LastModifiedDate

09/21/2025