STACEY PAULINE WILLARD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009205

License Status

ACTIVE

Business

First Name

STACEY

Middle

PAULINE

Last Name

WILLARD

Business Name

STACEY PAULINE WILLARD

Original Issue Date

12/07/2015

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

07/04/2024