BECKY A SIMONELIC Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005131

License Status

NOT RENEWED

Business

First Name

BECKY A

Last Name

SIMONELIC

Business Name

BECKY A SIMONELIC

Original Issue Date

12/06/1995

Effective Date

08/12/2004

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2007