THOMAS TAGE JOHANSON Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005605

License Status

INACTIVE

Business

First Name

THOMAS TAGE

Last Name

JOHANSON

Business Name

THOMAS TAGE JOHANSON

Original Issue Date

01/27/1998

Effective Date

09/30/2008

Expiration Date

09/30/2010

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2010