MARY P EITZEN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003837

License Status

CANCELLED

Business

First Name

MARY P

Last Name

EITZEN

Business Name

MARY P EITZEN

Original Issue Date

12/13/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005