JAMES M EKSTRUM Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001613

License Status

CANCELLED

Business

First Name

JAMES M

Last Name

EKSTRUM

Business Name

JAMES M EKSTRUM

Original Issue Date

01/23/1973

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/04/2005