CHARLES HERMAN FARRAR Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000629

License Status

CANCELLED

Business

First Name

CHARLES HERMAN

Last Name

FARRAR

Business Name

CHARLES HERMAN FARRAR

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/04/2005