MARK L ROSENBLUM Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001966

License Status

CANCELLED

Business

First Name

MARK L

Last Name

ROSENBLUM

Business Name

MARK L ROSENBLUM

Original Issue Date

01/29/1976

Expiration Date

09/30/1990

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005