KITTIWUT JOD TAYWADITEP Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006528

License Status

NOT RENEWED

Business

First Name

KITTIWUT

Middle

JOD

Last Name

TAYWADITEP

Business Name

KITTIWUT JOD TAYWADITEP

Original Issue Date

04/10/2003

Effective Date

09/24/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022