ELIJAH BENJAMIN BLASE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027160

License Status

ACTIVE

Business

First Name

ELIJAH

Middle

BENJAMIN

Last Name

BLASE

Business Name

ELIJAH BENJAMIN BLASE

Original Issue Date

05/08/2024

Effective Date

10/06/2025

Expiration Date

11/30/2027

City

MINNEAPOLIS

State

Zip

55406

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/06/2025