TIMOTHY A URBIN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003847

License Status

CANCELLED

Business

First Name

TIMOTHY A

Last Name

URBIN

Business Name

TIMOTHY A URBIN

Original Issue Date

12/13/1988

Expiration Date

09/30/1990

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2005