CHACKO K POOVATHUMKAL Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001774

License Status

CANCELLED

Business

First Name

CHACKO K

Last Name

POOVATHUMKAL

Business Name

CHACKO K POOVATHUMKAL

Original Issue Date

07/08/1974

Expiration Date

09/30/1990

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/04/2005