MITCHELL L EISEN PHD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004903

License Status

NOT RENEWED

Business

First Name

MITCHELL L

Last Name

EISEN

Suffix

PHD

Business Name

MITCHELL L EISEN PHD

Original Issue Date

09/13/1994

Expiration Date

09/30/1998

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2005