GREGORY C RUDOLPH Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001492

License Status

NOT RENEWED

Business

First Name

GREGORY C

Last Name

RUDOLPH

Business Name

GREGORY C RUDOLPH

Original Issue Date

02/16/1972

Effective Date

10/03/2016

Expiration Date

09/30/2018

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

12/05/2018