GORDON H FORD Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001543

License Status

CANCELLED

Business

First Name

GORDON H

Last Name

FORD

Business Name

GORDON H FORD

Original Issue Date

07/13/1972

Expiration Date

09/30/1990

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/04/2005