WALTER PETERSEN - Clinical Psychologist License in Illinois | # 071004711

WALTER PETERSEN

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004711

License Status

INACTIVE

Business

N

First Name

WALTER

Last Name

PETERSEN

Business Name

WALTER PETERSEN

Original Issue Date

05/24/1993

Effective Date

09/02/2004

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005