KITTIWUT JOD TAYWADITEP - Clinical Psychologist License in Illinois | # 071006528

KITTIWUT JOD TAYWADITEP

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006528

License Status

NOT RENEWED

Business

N

First Name

KITTIWUT

Middle

JOD

Last Name

TAYWADITEP

Business Name

KITTIWUT JOD TAYWADITEP

Original Issue Date

04/10/2003

Effective Date

09/24/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022