J WARREN THIESEN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001108

License Status

NOT RENEWED

Business

First Name

J WARREN

Last Name

THIESEN

Business Name

J WARREN THIESEN

Original Issue Date

01/01/1998

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

09/04/2005