TIFFANY ROSE CHURCH - Clinical Psychologist License in Illinois | # 071006938

TIFFANY ROSE CHURCH

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006938

License Status

INACTIVE

Business

N

First Name

TIFFANY

Middle

ROSE

Last Name

CHURCH

Business Name

TIFFANY ROSE CHURCH

Original Issue Date

11/08/2005

Effective Date

08/06/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014