DOUGLAS E GRANT Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007205

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

GRANT

Business Name

DOUGLAS E GRANT

Original Issue Date

01/24/2007

Effective Date

07/13/2016

Expiration Date

09/30/2018

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/07/2018