ROBERT J EIZENGA Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003495

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

EIZENGA

Business Name

ROBERT J EIZENGA

Original Issue Date

12/22/1986

Expiration Date

09/30/1990

City

PARK FOREST

State

Zip

60466

County

WILL

Ever Disciplined

LastModifiedDate

09/04/2005