WALTER PETERSEN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004711

License Status

INACTIVE

Business

First Name

WALTER

Last Name

PETERSEN

Business Name

WALTER PETERSEN

Original Issue Date

05/24/1993

Effective Date

09/02/2004

Expiration Date

09/30/2004

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005