REBECCA DIANE ANDERSON Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006137

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

DIANE

Last Name

ANDERSON

Business Name

REBECCA DIANE ANDERSON

Original Issue Date

10/18/2000

Effective Date

09/02/2010

Expiration Date

09/30/2012

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/08/2012