JOHN ALAN BLACK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019644

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ALAN

Last Name

BLACK

Business Name

JOHN ALAN BLACK

Original Issue Date

08/16/2017

Effective Date

11/16/2017

Expiration Date

11/30/2019

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020