GRACE J AHN-IM Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010384

License Status

ACTIVE

Business

First Name

GRACE

Middle

Last Name

AHN-IM

Business Name

GRACE J AHN-IM

Original Issue Date

10/15/2020

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60645

Ever Disciplined

LastModifiedDate

09/10/2024