BERNARD LAWRENCE GREEN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003141

License Status

NOT RENEWED

Business

First Name

BERNARD LAWRENCE

Last Name

GREEN

Business Name

BERNARD LAWRENCE GREEN

Original Issue Date

06/05/1984

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2005