CYNTHIA C GRASS BLACK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150002817

License Status

NOT RENEWED

Business

First Name

CYNTHIA C

Last Name

GRASS BLACK

Business Name

CYNTHIA C GRASS BLACK

Original Issue Date

01/09/1990

Expiration Date

11/30/1991

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2005