NATHALIE C DE FABRIQUE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007208

License Status

NOT RENEWED

Business

First Name

NATHALIE

Middle

Last Name

DE FABRIQUE

Business Name

NATHALIE C DE FABRIQUE

Original Issue Date

01/24/2007

Effective Date

09/03/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010