ROGER D FALLOT Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003193

License Status

CANCELLED

Business

First Name

ROGER D

Last Name

FALLOT

Business Name

ROGER D FALLOT

Original Issue Date

08/09/1984

Expiration Date

09/30/1990

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005