RAFAEL D BELTRAN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003974

License Status

INACTIVE

Business

First Name

RAFAEL D

Last Name

BELTRAN

Business Name

RAFAEL D BELTRAN

Original Issue Date

06/12/1989

Effective Date

07/25/2002

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005