ASHLEY ELIZABETH BLAKE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016082

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

ELIZABETH

Last Name

BLAKE

Business Name

ASHLEY ELIZABETH BLAKE

Original Issue Date

07/24/2013

Effective Date

02/26/2022

Expiration Date

11/30/2023

City

ST LOUIS

State

Zip

63116

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024