TERENCE J TRACEY Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003529

License Status

CANCELLED

Business

First Name

TERENCE J

Last Name

TRACEY

Business Name

TERENCE J TRACEY

Original Issue Date

03/09/1987

Expiration Date

09/30/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2005