JEREMY P SHAPIRO Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003752

License Status

CANCELLED

Business

First Name

JEREMY P

Last Name

SHAPIRO

Business Name

JEREMY P SHAPIRO

Original Issue Date

05/24/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005