MICHAEL CHURCH BAUM - Clinical Psychologist License in Illinois | # 071002404

MICHAEL CHURCH BAUM

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002404

License Status

INACTIVE

Business

N

First Name

MICHAEL CHURCH

Last Name

BAUM

Business Name

MICHAEL CHURCH BAUM

Original Issue Date

11/28/1978

Effective Date

07/11/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014