ANITA MICHELE BAZILE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006272

License Status

ACTIVE

Business

First Name

ANITA

Middle

MICHELE

Last Name

BAZILE

Business Name

ANITA MICHELE BAZILE

Original Issue Date

08/16/2001

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/12/2024