THEODORE W MATHEWS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001074

License Status

CANCELLED

Business

First Name

THEODORE W

Last Name

MATHEWS

Business Name

THEODORE W MATHEWS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/04/2005