BRIAN R HUMPHREY PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

PRESCRIBING PSYCHOLOGIST

License Number

074000018

License Status

ACTIVE

Business

Title

PSYD

First Name

BRIAN

Middle

Last Name

HUMPHREY

Business Name

BRIAN R HUMPHREY PSYD

Original Issue Date

05/01/2023

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2024