The holder whose full name is Zackheim, Marc Allen,come from Lake Bluff IL,hold the Psychologist - Health Service Provider license(NO.20040304A) which status is Expired.
| Name | Zackheim, Marc Allen |
|---|---|
| License Number | 20040304A |
| License Type | Psychologist - Health Service Provider |
| License Status | Expired |
| City | Lake Bluff |
| State | IL |