ANNE ALISA GEPHART MOORE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005936

License Status

ACTIVE

Business

First Name

ANNE

Middle

ALISA

Last Name

GEPHART MOORE

Business Name

ANNE ALISA GEPHART MOORE

Original Issue Date

10/20/1999

Effective Date

09/19/2024

Expiration Date

09/30/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

09/19/2024