MARY P EITZEN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003837

License Status

NOT RENEWED

Business

First Name

MARY P

Last Name

EITZEN

Business Name

MARY P EITZEN

Original Issue Date

12/13/1988

Effective Date

09/14/2012

Expiration Date

09/30/2014

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014