ALLEN J OTTENS DR Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003712

License Status

NOT RENEWED

Business

First Name

ALLEN J

Last Name

OTTENS DR

Business Name

ALLEN J OTTENS DR

Original Issue Date

02/03/1988

Effective Date

07/10/2012

Expiration Date

09/30/2014

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014