MARK A MOULTHROP Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002098

License Status

CANCELLED

Business

First Name

MARK A

Last Name

MOULTHROP

Business Name

MARK A MOULTHROP

Original Issue Date

12/28/1976

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005