JANE E SAMUELSON Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003172

License Status

CANCELLED

Business

First Name

JANE E

Last Name

SAMUELSON

Business Name

JANE E SAMUELSON

Original Issue Date

07/09/1984

Expiration Date

09/30/1990

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005