J DAVID CROCKETT - Clinical Psychologist License in Illinois | # 072001700

J DAVID CROCKETT

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001700

License Status

CANCELLED

Business

N

First Name

J DAVID

Last Name

CROCKETT

Business Name

J DAVID CROCKETT

Original Issue Date

01/02/1974

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/04/2005