JUDY L ELLICKSON Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002837

License Status

CANCELLED

Business

First Name

JUDY L

Last Name

ELLICKSON

Business Name

JUDY L ELLICKSON

Original Issue Date

11/24/1981

Expiration Date

09/30/1990

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

09/04/2005