THOMAS S ELISEO Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000539

License Status

CANCELLED

Business

First Name

THOMAS S

Last Name

ELISEO

Business Name

THOMAS S ELISEO

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/04/2005