MICHAEL J BLACCONIERE - Clinical Psychologist License in Illinois | # 071004033

MICHAEL J BLACCONIERE

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004033

License Status

ACTIVE

Business

N

First Name

MICHAEL

Middle

J

Last Name

BLACCONIERE

Business Name

MICHAEL J BLACCONIERE

Original Issue Date

11/28/1989

Effective Date

09/08/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/08/2024