KRISTA MICHELLE MOUCK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028154

License Status

ACTIVE

Business

First Name

KRISTA

Middle

MICHELLE

Last Name

MOUCK

Business Name

KRISTA MICHELLE MOUCK

Original Issue Date

11/14/2024

Effective Date

11/26/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/26/2025