NATHANIEL G F GOLDBLATT Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007696

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

G F

Last Name

GOLDBLATT

Business Name

NATHANIEL G F GOLDBLATT

Original Issue Date

05/22/2009

Effective Date

08/05/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018