SEVERN PROVUS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001058

License Status

NOT RENEWED

Business

First Name

SEVERN

Last Name

PROVUS

Business Name

SEVERN PROVUS

Original Issue Date

01/01/1998

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007