R KENT TE VAULT Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001641

License Status

INACTIVE

Business

First Name

R KENT TE

Last Name

VAULT

Business Name

R KENT TE VAULT

Original Issue Date

01/23/1973

Expiration Date

09/30/1984

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/03/2005