MARK A MOULTHROP Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002098

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

MOULTHROP

Business Name

MARK A MOULTHROP

Original Issue Date

12/28/1976

Effective Date

07/23/2012

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014