CHARLES A BAZNIK Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001205

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

BAZNIK

Business Name

CHARLES A BAZNIK

Effective Date

08/17/2004

Expiration Date

09/30/2006

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006