BRIAN R HUMPHREY PSYD

Business Entity
ACTIVE

Clinical Psychologist

PRESCRIBING PSYCHOLOGIST CONTROL SUB

374000018

ACTIVE

N

PSYD

BRIAN

R

HUMPHREY

BRIAN R HUMPHREY PSYD

05/01/2023

09/25/2024

09/30/2026

OAK PARK

IL

60304

COOK

N

09/25/2024