STACEY MAE AUSTIN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010000

License Status

ACTIVE

Business

First Name

STACEY

Middle

MAE

Last Name

AUSTIN

Business Name

STACEY MAE AUSTIN

Original Issue Date

04/05/2019

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2024