HERSHEL W STATHAM Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001500

License Status

CANCELLED

Business

First Name

HERSHEL W

Last Name

STATHAM

Business Name

HERSHEL W STATHAM

Original Issue Date

02/16/1972

Expiration Date

09/30/1990

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/04/2005