JACK HARRIS HAZELHURST Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000021

License Status

NOT RENEWED

Business

First Name

JACK

Middle

HARRIS

Last Name

HAZELHURST

Business Name

JACK HARRIS HAZELHURST

Original Issue Date

04/08/1964

Effective Date

12/15/1978

Expiration Date

11/01/1978

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2005