RICHARD D HEINSEN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001813

License Status

CANCELLED

Business

First Name

RICHARD D

Last Name

HEINSEN

Business Name

RICHARD D HEINSEN

Original Issue Date

02/04/1975

Expiration Date

09/30/1990

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005