RICHARD J LONG Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003876

License Status

CANCELLED

Business

First Name

RICHARD

Middle

Last Name

LONG

Business Name

RICHARD J LONG

Original Issue Date

12/13/1988

Expiration Date

09/30/1990

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

09/04/2005