MARTITA A LOPEZ Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002709

License Status

CANCELLED

Business

First Name

MARTITA A

Last Name

LOPEZ

Business Name

MARTITA A LOPEZ

Original Issue Date

11/12/1980

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005