K LARA BEANBLOSSOM Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006369

License Status

ACTIVE

Business

First Name

Middle

LARA

Last Name

BEANBLOSSOM

Business Name

K LARA BEANBLOSSOM

Original Issue Date

04/16/2002

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2024