TILLARY BLAINE BLACKMAN - Clinical Psychologist License in Illinois | # 071010501

TILLARY BLAINE BLACKMAN

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010501

License Status

ACTIVE

Business

N

First Name

TILLARY

Middle

BLAINE

Last Name

BLACKMAN

Business Name

TILLARY BLAINE BLACKMAN

Original Issue Date

03/22/2021

Effective Date

09/15/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/15/2024