HAROLD J BENNER Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001425

License Status

CANCELLED

Business

First Name

HAROLD J

Last Name

BENNER

Business Name

HAROLD J BENNER

Original Issue Date

02/16/1972

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/04/2005