SUSAN J GAULT Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004213

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

GAULT

Business Name

SUSAN J GAULT

Original Issue Date

12/05/1990

Effective Date

08/14/2022

Expiration Date

09/30/2024

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

02/27/2025