JOHN E FORHETZ Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002061

License Status

CANCELLED

Business

First Name

JOHN E

Last Name

FORHETZ

Business Name

JOHN E FORHETZ

Original Issue Date

12/28/1976

Expiration Date

09/30/1990

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/04/2005