SEVERN PROVUS - Clinical Psychologist License in Illinois | # 072001058

SEVERN PROVUS

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001058

License Status

NOT RENEWED

Business

N

First Name

SEVERN

Last Name

PROVUS

Business Name

SEVERN PROVUS

Original Issue Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007