JON S EBERT Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006912

License Status

NOT RENEWED

Business

First Name

JON

Middle

Last Name

EBERT

Business Name

JON S EBERT

Original Issue Date

09/19/2005

Effective Date

09/19/2005

Expiration Date

09/30/2006

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

11/08/2006