AMY C WAGNER Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003893

License Status

ACTIVE

Business

First Name

AMY C

Last Name

WAGNER

Business Name

AMY C WAGNER

Original Issue Date

02/17/1989

Effective Date

07/13/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2024