MICHAEL C BERTHOLD Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001350

License Status

CANCELLED

Business

First Name

MICHAEL C

Last Name

BERTHOLD

Business Name

MICHAEL C BERTHOLD

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005