DAVID ALAN DEACON Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006367

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALAN

Last Name

DEACON

Business Name

DAVID ALAN DEACON

Original Issue Date

04/12/2002

Effective Date

09/21/2004

Expiration Date

09/30/2006

City

HARVARD

State

Zip

60033

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/08/2006