MYRON H GREEN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001667

License Status

NOT RENEWED

Business

First Name

MYRON H

Last Name

GREEN

Business Name

MYRON H GREEN

Original Issue Date

08/02/1973

Expiration Date

09/30/1994

City

HIGHWOOD

State

Zip

60040

County

MADISON

Ever Disciplined

LastModifiedDate

09/03/2005