AGNES M TOM Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002874

License Status

CANCELLED

Business

First Name

AGNES M

Last Name

TOM

Business Name

AGNES M TOM

Original Issue Date

11/24/1981

Expiration Date

09/30/1990

City

RIVERWOODS

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

09/04/2005