GREGORY C RUDOLPH Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001492

License Status

CANCELLED

Business

First Name

GREGORY C

Last Name

RUDOLPH

Business Name

GREGORY C RUDOLPH

Original Issue Date

02/16/1972

Expiration Date

09/30/1990

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/04/2005