MICHAEL CHURCH BAUM - Clinical Psychologist License in Illinois | # 072002404

MICHAEL CHURCH BAUM

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002404

License Status

CANCELLED

Business

N

First Name

MICHAEL CHURCH

Last Name

BAUM

Business Name

MICHAEL CHURCH BAUM

Original Issue Date

11/28/1978

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/04/2005