STACY L CLARK Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007953

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

CLARK

Business Name

STACY L CLARK

Original Issue Date

07/20/2010

Effective Date

09/13/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/13/2024