ERIC R LARSON Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006762

License Status

INACTIVE

Business

First Name

ERIC

Middle

Last Name

LARSON

Business Name

ERIC R LARSON

Original Issue Date

09/20/2004

Effective Date

07/10/2008

Expiration Date

09/30/2010

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

07/08/2010