MICHAEL S BLACK Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000739

License Status

NOT RENEWED

Business

First Name

MICHAEL S

Last Name

BLACK

Business Name

MICHAEL S BLACK

Original Issue Date

09/08/2008

Effective Date

08/31/2010

Expiration Date

09/30/2012

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2012