GERALD W BURGENER - Clinical Psychologist License in Illinois | # 071002743

GERALD W BURGENER

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002743

License Status

INACTIVE

Business

N

First Name

GERALD W

Last Name

BURGENER

Business Name

GERALD W BURGENER

Original Issue Date

11/12/1980

Effective Date

07/14/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2010