JOHN T LEWIS Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005020

License Status

INACTIVE

Business

First Name

JOHN T

Last Name

LEWIS

Business Name

JOHN T LEWIS

Original Issue Date

05/20/1995

Effective Date

08/18/2020

Expiration Date

09/30/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/26/2022