CHARLES J BOSWORTH PHD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004673

License Status

NOT RENEWED

Business

First Name

CHARLES J

Last Name

BOSWORTH

Suffix

PHD

Business Name

CHARLES J BOSWORTH PHD

Original Issue Date

05/20/1993

Effective Date

10/07/2004

Expiration Date

09/30/2006

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006