ANTHONY RAY PETERSON PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006958

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

RAY

Last Name

PETERSON

Suffix

PSYD

Business Name

ANTHONY RAY PETERSON PSYD

Original Issue Date

11/29/2005

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

09/16/2024