TILLARY BLAINE BLACKMAN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010501

License Status

ACTIVE

Business

First Name

TILLARY

Middle

BLAINE

Last Name

BLACKMAN

Business Name

TILLARY BLAINE BLACKMAN

Original Issue Date

03/22/2021

Effective Date

09/15/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60618

Ever Disciplined

LastModifiedDate

09/15/2024