MARY ELLEN MOORE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002095

License Status

ACTIVE

Business

First Name

MARY ELLEN

Last Name

MOORE

Business Name

MARY ELLEN MOORE

Original Issue Date

12/28/1976

Effective Date

08/02/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

08/02/2024