SYLVIA A ROQUE Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002512

License Status

INACTIVE

Business

First Name

SYLVIA A

Last Name

ROQUE

Business Name

SYLVIA A ROQUE

Original Issue Date

05/23/1979

Effective Date

03/02/2009

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2010