RUDOLPH G BREITMEYER Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001352

License Status

CANCELLED

Business

First Name

RUDOLPH G

Last Name

BREITMEYER

Business Name

RUDOLPH G BREITMEYER

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/04/2005