CHACKO K POOVATHUMKAL Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001774

License Status

INACTIVE

Business

First Name

CHACKO K

Last Name

POOVATHUMKAL

Business Name

CHACKO K POOVATHUMKAL

Original Issue Date

07/08/1974

Effective Date

10/02/2012

Expiration Date

09/30/2014

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/03/2014