JOHN E FORHETZ Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002061

License Status

NOT RENEWED

Business

First Name

JOHN E

Last Name

FORHETZ

Business Name

JOHN E FORHETZ

Original Issue Date

12/28/1976

Effective Date

08/27/2012

Expiration Date

09/30/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

11/17/2014