GLORIA J LEWIS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001822

License Status

NOT RENEWED

Business

First Name

GLORIA J

Last Name

LEWIS

Business Name

GLORIA J LEWIS

Original Issue Date

02/04/1975

Effective Date

11/01/2004

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005