CYNTHIA C GRASS BLACK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004331

License Status

ACTIVE

Business

First Name

CYNTHIA C

Last Name

GRASS BLACK

Business Name

CYNTHIA C GRASS BLACK

Original Issue Date

12/17/1991

Effective Date

11/18/2025

Expiration Date

11/30/2027

City

CROWN POINT

State

Zip

46307

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/18/2025