KEITH D WILCOCK Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001172

License Status

NOT RENEWED

Business

First Name

KEITH D

Last Name

WILCOCK

Business Name

KEITH D WILCOCK

Original Issue Date

01/01/1998

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/04/2005