JEROME S PIETRZAK Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001567

License Status

CANCELLED

Business

First Name

JEROME S

Last Name

PIETRZAK

Business Name

JEROME S PIETRZAK

Original Issue Date

07/13/1972

Expiration Date

09/30/1990

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005