JUDITH A IVINS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003403

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

IVINS

Business Name

JUDITH A IVINS

Original Issue Date

05/08/1986

Effective Date

09/24/2014

Expiration Date

09/30/2016

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

11/26/2016