ANDREA YVETTE BLAYLOCK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008354

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

YVETTE

Last Name

BLAYLOCK

Business Name

ANDREA YVETTE BLAYLOCK

Original Issue Date

10/13/1998

Effective Date

11/04/2019

Expiration Date

02/28/2022

City

ST LOUIS

State

Zip

63112

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022