LORRAINE D D'ASTA Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002763

License Status

CANCELLED

Business

First Name

LORRAINE D

Last Name

D'ASTA

Business Name

LORRAINE D D'ASTA

Original Issue Date

11/12/1980

Expiration Date

09/30/1990

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005