MITCHELL L EISEN PHD - Clinical Psychologist License in Illinois | # 071004903

MITCHELL L EISEN PHD

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004903

License Status

NOT RENEWED

Business

N

First Name

MITCHELL L

Last Name

EISEN

Suffix

PHD

Business Name

MITCHELL L EISEN PHD

Original Issue Date

09/13/1994

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/03/2005