KELLY J BAUMAN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008887

License Status

ACTIVE

Business

First Name

KELLY J

Last Name

BAUMAN

Business Name

KELLY J BAUMAN

Original Issue Date

08/06/2014

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

MARENGO

State

Zip

60152

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/03/2024