ANNE ALISA GEPHART MOORE - Clinical Psychologist License in Illinois | # 071005936

ANNE ALISA GEPHART MOORE

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005936

License Status

ACTIVE

Business

N

First Name

ANNE

Middle

ALISA

Last Name

GEPHART MOORE

Business Name

ANNE ALISA GEPHART MOORE

Original Issue Date

10/20/1999

Effective Date

09/19/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/19/2024