PHILLIP B REIDDA Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001572

License Status

CANCELLED

Business

First Name

PHILLIP B

Last Name

REIDDA

Business Name

PHILLIP B REIDDA

Original Issue Date

07/13/1972

Expiration Date

09/30/1990

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

09/04/2005