AUDREY M BORTH Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001986

License Status

CANCELLED

Business

First Name

AUDREY M

Last Name

BORTH

Business Name

AUDREY M BORTH

Original Issue Date

07/21/1976

Expiration Date

09/30/1990

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

09/04/2005