MYRON H GREEN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001667

License Status

CANCELLED

Business

First Name

MYRON H

Last Name

GREEN

Business Name

MYRON H GREEN

Original Issue Date

08/02/1973

Expiration Date

09/30/1990

City

HIGHLAND

State

Zip

60040

County

MADISON

Ever Disciplined

LastModifiedDate

07/12/2007