LAUREL F BLACK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150107823

License Status

ACTIVE

Business

First Name

LAUREL

Middle

Last Name

BLACK

Business Name

LAUREL F BLACK

Original Issue Date

05/09/2022

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

PADUCAH

State

Zip

42001

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/11/2025