GENESSA LEWIS - Clinical Psychologist License in Illinois | # 374000021

GENESSA LEWIS

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

PRESCRIBING PSYCHOLOGIST CONTROL SUB

License Number

374000021

License Status

ACTIVE

Business

N

First Name

GENESSA

Last Name

LEWIS

Business Name

GENESSA LEWIS

Original Issue Date

01/22/2024

Effective Date

09/24/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/24/2024