BERNHARD E BLOM PHD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001963

License Status

ACTIVE

Business

First Name

BERNHARD

Middle

Last Name

BLOM

Suffix

PHD

Business Name

BERNHARD E BLOM PHD

Original Issue Date

01/29/1976

Effective Date

07/18/2024

Expiration Date

09/30/2026

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/18/2024