THEOPHILUS E GREEN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004091

License Status

NOT RENEWED

Business

First Name

THEOPHILUS E

Last Name

GREEN

Business Name

THEOPHILUS E GREEN

Original Issue Date

02/21/1990

Effective Date

09/28/1998

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

09/17/2013

Case Number

2011005754

Action

Revocation

Discipline Start Date

08/30/2013

Discipline Reason

for practicing on a suspended license.