THOMAS TAGE JOHANSON - Clinical Psychologist License in Illinois | # 071005605

THOMAS TAGE JOHANSON

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005605

License Status

INACTIVE

Business

N

First Name

THOMAS TAGE

Last Name

JOHANSON

Business Name

THOMAS TAGE JOHANSON

Original Issue Date

01/27/1998

Effective Date

09/30/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2010