RUSSEL L TRACY PHD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002974

License Status

NOT RENEWED

Business

First Name

RUSSEL L

Last Name

TRACY

Suffix

PHD

Business Name

RUSSEL L TRACY PHD

Original Issue Date

12/01/1982

Expiration Date

09/30/1984

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/12/2007