JOHN R SHACK Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001495

License Status

CANCELLED

Business

First Name

JOHN R

Last Name

SHACK

Business Name

JOHN R SHACK

Original Issue Date

02/16/1972

Expiration Date

09/30/1990

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005