LISA R GROSSMAN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003098

License Status

CANCELLED

Business

First Name

LISA R

Last Name

GROSSMAN

Business Name

LISA R GROSSMAN

Original Issue Date

12/02/1983

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005