THEODORE W POLONUS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003759

License Status

CANCELLED

Business

First Name

THEODORE W

Last Name

POLONUS

Business Name

THEODORE W POLONUS

Original Issue Date

05/24/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005