MICHAEL S BLACK - Clinical Psychologist License in Illinois | # 071000739

MICHAEL S BLACK

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000739

License Status

NOT RENEWED

Business

N

First Name

MICHAEL S

Last Name

BLACK

Business Name

MICHAEL S BLACK

Original Issue Date

09/08/2008

Effective Date

08/31/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2012