MARY L LARSON Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004136

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

LARSON

Business Name

MARY L LARSON

Original Issue Date

06/20/1990

Effective Date

07/07/2018

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021