License Information
License Number
071000863Business Name
FAY H STARRLicense Type
CLIN PSYCHOLOGISTOriginal Issue Date
1970-01-01License Status
INACTIVECity
EDWARDSVILLEState
ILCounty
MADISONPost
62025Update Date
2023-10-08Business
NExpiration Date
09/30/1984Ever Disciplined
NLastModifiedDate
09/03/2005Registered Location
Peripheral Licensees
- REESE GANNAWAY EDWARDSVILLE, IL 62025
- ROBERT L ZOELZER EDWARDSVILLE, IL 62025
- JOYCE J DEROUSSE EDWARDSVILLE, IL 62025
- HIGHLAND PARK CVS LLC EDWARDSVILLE, IL 62025
- BERNARD STERN EDWARDSVILLE, IL 62025
- WAYNE B COX EDWARDSVILLE, IL 62025
- KARA L GRIMMER EDWARDSVILLE, IL 62025
- GOLDIE M KETTLER EDWARDSVILLE, IL 62025
- MARY SCHREIER EDWARDSVILLE, IL 62025
- NORA M EASTERLING EDWARDSVILLE, IL 62025