REGINA MARIE BLACKSTONE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022617

License Status

ACTIVE

Business

First Name

REGINA

Middle

MARIE

Last Name

BLACKSTONE

Business Name

REGINA MARIE BLACKSTONE

Original Issue Date

10/07/2020

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/11/2025