ERIC R LARSON - Clinical Psychologist License in Illinois | # 071006762

ERIC R LARSON

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006762

License Status

INACTIVE

Business

N

First Name

ERIC

Middle

R

Last Name

LARSON

Business Name

ERIC R LARSON

Original Issue Date

09/20/2004

Effective Date

07/10/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2010