DOUGLAS LEE HAZEN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006026

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

LEE

Last Name

HAZEN

Business Name

DOUGLAS LEE HAZEN

Original Issue Date

03/02/2000

Effective Date

07/09/2012

Expiration Date

09/30/2014

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014