ROBERT L RUSSELL PHD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004528

License Status

NOT RENEWED

Business

First Name

ROBERT L

Last Name

RUSSELL

Suffix

PHD

Business Name

ROBERT L RUSSELL PHD

Original Issue Date

12/03/1992

Effective Date

11/01/2004

Expiration Date

09/30/2004

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005