MICHAEL CHARLES HEINZE Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002243

License Status

CANCELLED

Business

First Name

MICHAEL CHARLES

Last Name

HEINZE

Business Name

MICHAEL CHARLES HEINZE

Original Issue Date

12/30/1977

Expiration Date

09/30/1990

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/04/2005