BLAIR KILPATRICK-TABAK Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002719

License Status

NOT RENEWED

Business

First Name

BLAIR

Last Name

KILPATRICK-TABAK

Business Name

BLAIR KILPATRICK-TABAK

Original Issue Date

11/12/1980

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2005