J DAVID CROCKETT Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001700

License Status

NOT RENEWED

Business

First Name

J DAVID

Last Name

CROCKETT

Business Name

J DAVID CROCKETT

Original Issue Date

01/02/1974

Effective Date

09/23/2020

Expiration Date

09/30/2022

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

11/28/2022