JOANNA MARIA SHAKE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013729

License Status

NOT RENEWED

Business

First Name

JOANNA

Middle

MARIA

Last Name

SHAKE

Business Name

JOANNA MARIA SHAKE

Original Issue Date

07/24/2009

Effective Date

10/14/2020

Expiration Date

02/28/2022

City

BOWLING GREEN

State

Zip

42104

County

KENTUCKY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022