BENJAMIN JACOB GORVINE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006690

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

JACOB

Last Name

GORVINE

Business Name

BENJAMIN JACOB GORVINE

Original Issue Date

03/05/2004

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

08/22/2024