DANIEL J KOZUBAL Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003041

License Status

CANCELLED

Business

First Name

DANIEL J

Last Name

KOZUBAL

Business Name

DANIEL J KOZUBAL

Original Issue Date

05/24/1983

Expiration Date

09/30/1990

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/04/2005