RAY EDWARD QUACKENBUSH Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006293

License Status

NOT RENEWED

Business

First Name

RAY

Middle

EDWARD

Last Name

QUACKENBUSH

Business Name

RAY EDWARD QUACKENBUSH

Original Issue Date

10/18/2001

Effective Date

07/29/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010