MICHAEL S BLACK Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000739

License Status

CANCELLED

Business

First Name

MICHAEL S

Last Name

BLACK

Business Name

MICHAEL S BLACK

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005