MICHELLE C GATES Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009144

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

GATES

Business Name

MICHELLE C GATES

Original Issue Date

09/25/2015

Effective Date

07/18/2016

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/05/2018