KENNETH ERIC MILLER Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005818

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

ERIC

Last Name

MILLER

Business Name

KENNETH ERIC MILLER

Original Issue Date

01/12/1999

Effective Date

10/30/2000

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005