LEON B BLACK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005967

License Status

ACTIVE

Business

First Name

LEON

Middle

Last Name

BLACK

Business Name

LEON B BLACK

Original Issue Date

05/23/1994

Effective Date

09/12/2025

Expiration Date

11/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/12/2025