CHARLES R POTKAY Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001054

License Status

INACTIVE

Business

First Name

CHARLES R

Last Name

POTKAY

Business Name

CHARLES R POTKAY

Effective Date

09/14/2004

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005