PATRICIA J MICKLOS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003795

License Status

CANCELLED

Business

First Name

PATRICIA J

Last Name

MICKLOS

Business Name

PATRICIA J MICKLOS

Original Issue Date

06/18/1988

Expiration Date

09/30/1990

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005