RALPH S IENNARELLA Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003372

License Status

NOT RENEWED

Business

First Name

RALPH S

Last Name

IENNARELLA

Business Name

RALPH S IENNARELLA

Original Issue Date

05/08/1986

Effective Date

11/01/2004

Expiration Date

09/30/2004

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005