LUIS A BAEZ Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002887

License Status

NOT RENEWED

Business

First Name

LUIS A

Last Name

BAEZ

Business Name

LUIS A BAEZ

Original Issue Date

11/24/1981

Effective Date

09/22/2004

Expiration Date

09/30/2006

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/08/2006