THEODORE V MOORE 12 Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071022431

License Status

ACTIVE

Business

First Name

THEODORE

Middle

Last Name

MOORE

Suffix

Business Name

THEODORE V MOORE 12

Original Issue Date

09/23/2025

Effective Date

09/23/2025

Expiration Date

09/30/2026

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

09/24/2025