BRUCE E MALCOLM - Clinical Psychologist License in Illinois | # 071004998

BRUCE E MALCOLM

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004998

License Status

NOT RENEWED

Business

N

First Name

BRUCE E

Last Name

MALCOLM

Business Name

BRUCE E MALCOLM

Original Issue Date

02/23/1995

Effective Date

11/01/2004

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005