BLAINE R LESNIK Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005682

License Status

ACTIVE

Business

First Name

BLAINE

Middle

Last Name

LESNIK

Business Name

BLAINE R LESNIK

Original Issue Date

05/20/1998

Effective Date

08/16/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2024