WYLIE GOODMAN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005524

License Status

NOT RENEWED

Business

First Name

WYLIE

Last Name

GOODMAN

Business Name

WYLIE GOODMAN

Original Issue Date

12/11/1997

Effective Date

10/30/2000

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005