CAROLYN DENISE MOORE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005860

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

DENISE

Last Name

MOORE

Business Name

CAROLYN DENISE MOORE

Original Issue Date

04/19/1999

Effective Date

09/23/2004

Expiration Date

09/30/2006

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006