MITCHELL N GOODMAN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001619

License Status

CANCELLED

Business

First Name

MITCHELL

Middle

Last Name

GOODMAN

Business Name

MITCHELL N GOODMAN

Original Issue Date

01/23/1973

Expiration Date

09/30/1990

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005