BLAIR KILPATRICK-TABAK Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002719

License Status

CANCELLED

Business

First Name

BLAIR

Last Name

KILPATRICK-TABAK

Business Name

BLAIR KILPATRICK-TABAK

Original Issue Date

11/12/1980

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/23/2007