J DAVID CROCKETT - Clinical Psychologist License in Illinois | # 071001700

J DAVID CROCKETT

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001700

License Status

NOT RENEWED

Business

N

First Name

J DAVID

Last Name

CROCKETT

Business Name

J DAVID CROCKETT

Original Issue Date

01/02/1974

Effective Date

09/23/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022