EDWIN A HALLSTEN JR Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001451

License Status

CANCELLED

Business

First Name

EDWIN A

Last Name

HALLSTEN JR

Business Name

EDWIN A HALLSTEN JR

Original Issue Date

02/16/1972

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005