TRACY LEWIS TODD Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003414

License Status

CANCELLED

Business

First Name

TRACY LEWIS

Last Name

TODD

Business Name

TRACY LEWIS TODD

Original Issue Date

06/23/1986

Expiration Date

09/30/1990

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005