DAVID J GREENWALD Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003379

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

GREENWALD

Business Name

DAVID J GREENWALD

Original Issue Date

05/08/1986

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/04/2005