TERRENCE J KOLLER Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002716

License Status

CANCELLED

Business

First Name

TERRENCE J

Last Name

KOLLER

Business Name

TERRENCE J KOLLER

Original Issue Date

11/12/1980

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005