GLEN P AYLWARD Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002533

License Status

CANCELLED

Business

First Name

GLEN

Middle

Last Name

AYLWARD

Business Name

GLEN P AYLWARD

Original Issue Date

11/21/1979

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/04/2005