HERBERT K LOTZ Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000714

License Status

CANCELLED

Business

First Name

HERBERT K

Last Name

LOTZ

Business Name

HERBERT K LOTZ

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/04/2005