JACK H GROSSMAN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000790

License Status

INACTIVE

Business

First Name

JACK H

Last Name

GROSSMAN

Business Name

JACK H GROSSMAN

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

05/15/2007