CHARLES A BAZNIK Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001205

License Status

CANCELLED

Business

First Name

CHARLES A

Last Name

BAZNIK

Business Name

CHARLES A BAZNIK

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005