PAUL A PETERSEN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000674

License Status

CANCELLED

Business

First Name

PAUL A

Last Name

PETERSEN

Business Name

PAUL A PETERSEN

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005