AUDREY M BORTH - Clinical Psychologist License in Illinois | # 072001986

AUDREY M BORTH

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001986

License Status

CANCELLED

Business

N

First Name

AUDREY M

Last Name

BORTH

Business Name

AUDREY M BORTH

Original Issue Date

07/21/1976

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/04/2005