MARIAN GRACE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001919

License Status

NOT RENEWED

Business

First Name

MARIAN

Last Name

GRACE

Business Name

MARIAN GRACE

Original Issue Date

01/29/1976

Effective Date

10/30/2000

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005