HERSHEL W STATHAM Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001500

License Status

NOT RENEWED

Business

First Name

HERSHEL W

Last Name

STATHAM

Business Name

HERSHEL W STATHAM

Original Issue Date

02/16/1972

Effective Date

08/24/2020

Expiration Date

09/30/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/28/2022