GERO MED PSYCH PC - Clinical Psychologist License in Illinois | # 098000089

GERO MED PSYCH PC

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

LICENSED PSYCHOLOGICAL CORPORATION

License Number

098000089

License Status

NOT RENEWED

Business

Y

Business Name

GERO MED PSYCH PC

Original Issue Date

03/11/2002

Effective Date

11/01/2004

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005