BRUCE R JOHNSON Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001762

License Status

INACTIVE

Business

First Name

BRUCE R

Last Name

JOHNSON

Business Name

BRUCE R JOHNSON

Original Issue Date

07/08/1974

Expiration Date

09/30/1998

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2005