AUDREY U MIVELAZ Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000826

License Status

CANCELLED

Business

First Name

AUDREY U

Last Name

MIVELAZ

Business Name

AUDREY U MIVELAZ

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005