CAMILLA Z BLACK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150113474

License Status

ACTIVE

Business

First Name

CAMILLA

Middle

Last Name

BLACK

Business Name

CAMILLA Z BLACK

Original Issue Date

04/26/2024

Effective Date

10/01/2025

Expiration Date

11/30/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/01/2025