MIRNA BALLESTAS Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007650

License Status

ACTIVE

Business

First Name

MIRNA

Last Name

BALLESTAS

Business Name

MIRNA BALLESTAS

Original Issue Date

03/20/2009

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/24/2024