CHARLES R POTKAY Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001054

License Status

CANCELLED

Business

First Name

CHARLES R

Last Name

POTKAY

Business Name

CHARLES R POTKAY

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/04/2005