KRISTINA BLACK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149029796

License Status

NOT RENEWED

Business

First Name

KRISTINA

Last Name

BLACK

Business Name

KRISTINA BLACK

Original Issue Date

07/30/2025

Effective Date

07/30/2025

Expiration Date

11/30/2025

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026