REX BLAIR WYATT Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149025823

License Status

ACTIVE

Business

First Name

REX

Middle

BLAIR

Last Name

WYATT

Business Name

REX BLAIR WYATT

Original Issue Date

08/23/2023

Effective Date

09/19/2025

Expiration Date

11/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/19/2025