LEONARD JASON Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002077

License Status

CANCELLED

Business

First Name

LEONARD

Last Name

JASON

Business Name

LEONARD JASON

Original Issue Date

12/28/1976

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005