TRACY ANEZIRIS BOULAHANIS Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010329

License Status

ACTIVE

Business

First Name

TRACY

Middle

ANEZIRIS

Last Name

BOULAHANIS

Business Name

TRACY ANEZIRIS BOULAHANIS

Original Issue Date

08/10/2020

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

07/04/2024