COLLEEN MARIE BLACK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022559

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

MARIE

Last Name

BLACK

Business Name

COLLEEN MARIE BLACK

Original Issue Date

09/23/2020

Effective Date

11/25/2025

Expiration Date

11/30/2027

City

JOHNSBURG

State

Zip

60051

County

MCHENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/25/2025