PHILLIP B REIDDA Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001572

License Status

NOT RENEWED

Business

First Name

PHILLIP B

Last Name

REIDDA

Business Name

PHILLIP B REIDDA

Original Issue Date

07/13/1972

Effective Date

09/15/2014

Expiration Date

09/30/2016

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/26/2016