ETHEL PATRICIA LOCK Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001626

License Status

NOT RENEWED

Business

First Name

ETHEL PATRICIA

Last Name

LOCK

Business Name

ETHEL PATRICIA LOCK

Original Issue Date

01/23/1973

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/03/2005