MARIAN GRACE Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001919

License Status

CANCELLED

Business

First Name

MARIAN

Last Name

GRACE

Business Name

MARIAN GRACE

Original Issue Date

01/29/1976

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005