CHARLES HERMAN FARRAR Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000629

License Status

NOT RENEWED

Business

First Name

CHARLES HERMAN

Last Name

FARRAR

Business Name

CHARLES HERMAN FARRAR

Original Issue Date

07/14/2008

Effective Date

09/07/2010

Expiration Date

09/30/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/08/2012