MARY ELLEN MOORE Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002095

License Status

CANCELLED

Business

First Name

MARY ELLEN

Last Name

MOORE

Business Name

MARY ELLEN MOORE

Original Issue Date

12/28/1976

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005