MICHAEL J BLACCONIERE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004033

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

BLACCONIERE

Business Name

MICHAEL J BLACCONIERE

Original Issue Date

11/28/1989

Effective Date

09/08/2024

Expiration Date

09/30/2026

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

09/08/2024