CHARLES W LEWIS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002249

License Status

CANCELLED

Business

First Name

CHARLES W

Last Name

LEWIS

Business Name

CHARLES W LEWIS

Original Issue Date

12/30/1977

Expiration Date

09/30/1990

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/04/2005