AMY D FAYAZRAD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009127

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

FAYAZRAD

Business Name

AMY D FAYAZRAD

Original Issue Date

09/25/2015

Effective Date

09/21/2024

Expiration Date

09/30/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/21/2024