THEODORE J CHAPIN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004138

License Status

ACTIVE

Business

First Name

THEODORE J

Last Name

CHAPIN

Business Name

THEODORE J CHAPIN

Original Issue Date

06/20/1990

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/04/2024