CHAYA H ROTH Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001574

License Status

NOT RENEWED

Business

First Name

CHAYA H

Last Name

ROTH

Business Name

CHAYA H ROTH

Original Issue Date

07/13/1972

Effective Date

07/11/2014

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016