JASON J WASHBURN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

LICENSED PSYCHOLOGICAL PARTNERSHIP

License Number

073000059

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

WASHBURN

Business Name

JASON J WASHBURN

Original Issue Date

12/08/2009

Effective Date

08/12/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2012