TERRANCE G LICHTENWALD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004070

License Status

NOT RENEWED

Business

First Name

TERRANCE G

Last Name

LICHTENWALD

Business Name

TERRANCE G LICHTENWALD

Original Issue Date

12/12/1989

Effective Date

08/03/2020

Expiration Date

09/30/2022

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/28/2022