GAVIN STOVALL MULLEN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004627

License Status

ACTIVE

Business

First Name

GAVIN

Middle

STOVALL

Last Name

MULLEN

Business Name

GAVIN STOVALL MULLEN

Original Issue Date

03/11/1993

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2024