TONY P LATHAM Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005583

License Status

ACTIVE

Business

First Name

TONY P

Last Name

LATHAM

Business Name

TONY P LATHAM

Original Issue Date

12/12/1997

Effective Date

08/12/2024

Expiration Date

09/30/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

08/12/2024