MICHAEL J STEVENS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002968

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

STEVENS

Business Name

MICHAEL J STEVENS

Original Issue Date

12/01/1982

Expiration Date

09/30/1990

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/04/2005