ANNA RACHEL BASOV Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009153

License Status

ACTIVE

Business

First Name

ANNA

Middle

RACHEL

Last Name

BASOV

Business Name

ANNA RACHEL BASOV

Original Issue Date

09/25/2015

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2024