FREDERICK DORNBACK - Clinical Psychologist License in Illinois | # 071001211

FREDERICK DORNBACK

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001211

License Status

INACTIVE

Business

N

First Name

FREDERICK

Last Name

DORNBACK

Business Name

FREDERICK DORNBACK

Original Issue Date

08/31/2010

Effective Date

08/06/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014