MARK L ROSENBLUM Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001966

License Status

INACTIVE

Business

First Name

MARK L

Last Name

ROSENBLUM

Business Name

MARK L ROSENBLUM

Original Issue Date

01/29/1976

Effective Date

07/10/2012

Expiration Date

09/30/2014

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014