LAURA BRIMM BLACK - Social Worker License in Illinois | # 149004617

LAURA BRIMM BLACK

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004617

License Status

INACTIVE

Business

N

First Name

LAURA

Last Name

BRIMM BLACK

Business Name

LAURA BRIMM BLACK

Original Issue Date

04/03/1992

Effective Date

11/30/2009

Expiration Date

11/30/2011

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/07/2011