ANNE JULIA BERGEN PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010976

License Status

ACTIVE

Business

Title

PSYD

First Name

ANNE

Middle

JULIA

Last Name

BERGEN

Business Name

ANNE JULIA BERGEN PSYD

Original Issue Date

05/12/2023

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2024