GRACIA VAN DAFF GUISE Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001072

License Status

CANCELLED

Business

First Name

GRACIA VAN DAFF

Last Name

GUISE

Business Name

GRACIA VAN DAFF GUISE

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005