KENYATTA P BLACK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028310

License Status

ACTIVE

Business

First Name

KENYATTA

Middle

Last Name

BLACK

Business Name

KENYATTA P BLACK

Original Issue Date

12/02/2024

Effective Date

10/14/2025

Expiration Date

11/30/2027

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/14/2025