MAXINE MIESAK CARR Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071011315

License Status

ACTIVE

Business

First Name

MAXINE

Middle

MIESAK

Last Name

CARR

Business Name

MAXINE MIESAK CARR

Original Issue Date

10/11/2024

Effective Date

10/11/2024

Expiration Date

09/30/2026

City

LISLE

State

Zip

60532

Ever Disciplined

LastModifiedDate

10/11/2024