FRANK COSTIN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000341

License Status

CANCELLED

Business

First Name

FRANK

Last Name

COSTIN

Business Name

FRANK COSTIN

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2005