C C ANDERSON Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002232

License Status

NOT RENEWED

Business

First Name

C C

Last Name

ANDERSON

Business Name

C C ANDERSON

Original Issue Date

12/30/1977

Effective Date

10/15/2002

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005