STACEY PELTON MAX Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005848

License Status

ACTIVE

Business

First Name

STACEY

Middle

PELTON

Last Name

MAX

Business Name

STACEY PELTON MAX

Original Issue Date

02/23/1999

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2024