PHILIP M BONELLI Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001429

License Status

CANCELLED

Business

First Name

PHILIP M

Last Name

BONELLI

Business Name

PHILIP M BONELLI

Original Issue Date

02/16/1972

Expiration Date

09/30/1990

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

09/04/2005