GENESSA LEWIS Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

PRESCRIBING PSYCHOLOGIST

License Number

074000021

License Status

ACTIVE

Business

First Name

GENESSA

Last Name

LEWIS

Business Name

GENESSA LEWIS

Original Issue Date

01/22/2024

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

09/24/2024