CHAYA H ROTH Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001574

License Status

CANCELLED

Business

First Name

CHAYA H

Last Name

ROTH

Business Name

CHAYA H ROTH

Original Issue Date

07/13/1972

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005