DANIELLE ANNA BLACK PHD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007972

License Status

ACTIVE

Business

Title

PHD

First Name

DANIELLE

Middle

ANNA

Last Name

BLACK

Business Name

DANIELLE ANNA BLACK PHD

Original Issue Date

09/22/2010

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2024