ALISA T WONG Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003422

License Status

CANCELLED

Business

First Name

ALISA T

Last Name

WONG

Business Name

ALISA T WONG

Original Issue Date

09/03/1986

Expiration Date

09/30/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2005