JOHN PRENTICE ANDERSON Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006084

License Status

ACTIVE

Business

First Name

JOHN

Middle

PRENTICE

Last Name

ANDERSON

Business Name

JOHN PRENTICE ANDERSON

Original Issue Date

07/05/2000

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/30/2024