FANNIE BLAKE Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149026387

License Status

ACTIVE

Business

First Name

FANNIE

Last Name

BLAKE

Business Name

FANNIE BLAKE

Original Issue Date

01/16/2024

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/19/2025