BRUCE E MALCOLM Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004998

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005