DAVID R ANDERSON Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002605

License Status

CANCELLED

Business

First Name

DAVID R

Last Name

ANDERSON

Business Name

DAVID R ANDERSON

Original Issue Date

01/17/1980

Expiration Date

09/30/1990

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/04/2005