CLARENCE RAE BROOKS - Clinical Psychologist License in Illinois | # 071001535

CLARENCE RAE BROOKS

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001535

License Status

NOT RENEWED

Business

N

First Name

CLARENCE RAE

Last Name

BROOKS

Business Name

CLARENCE RAE BROOKS

Original Issue Date

07/13/1972

Effective Date

11/01/2004

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005