SAMANTHA C COLLAZO Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010278

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

COLLAZO

Business Name

SAMANTHA C COLLAZO

Original Issue Date

04/13/2020

Effective Date

07/09/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

07/09/2024