KELLY MENNEN MOORE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008849

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MENNEN

Last Name

MOORE

Business Name

KELLY MENNEN MOORE

Original Issue Date

07/08/2014

Effective Date

07/08/2014

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016