THOMAS F BERGQUIST PHD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004521

License Status

NOT RENEWED

Business

First Name

THOMAS F

Last Name

BERGQUIST

Suffix

PHD

Business Name

THOMAS F BERGQUIST PHD

Original Issue Date

09/15/1992

Effective Date

10/30/2000

Expiration Date

09/30/2000

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005