THEODORE F WITZIG JR Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006946

License Status

ACTIVE

Business

First Name

THEODORE

Middle

Last Name

WITZIG

Suffix

Business Name

THEODORE F WITZIG JR

Original Issue Date

11/08/2005

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2024