ANTOINETTE MARY HEINZE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002319

License Status

NOT RENEWED

Business

First Name

ANTOINETTE MARY

Last Name

HEINZE

Business Name

ANTOINETTE MARY HEINZE

Original Issue Date

05/22/1978

Effective Date

08/14/2012

Expiration Date

09/30/2014

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

11/17/2014