THEODORE W POLONUS Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003759

License Status

ACTIVE

Business

First Name

THEODORE W

Last Name

POLONUS

Business Name

THEODORE W POLONUS

Original Issue Date

05/24/1988

Effective Date

08/26/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

08/26/2024