REGINA SARAH ROTH Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002616

License Status

CANCELLED

Business

First Name

REGINA SARAH

Last Name

ROTH

Business Name

REGINA SARAH ROTH

Original Issue Date

05/19/1980

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005