LAURA MARIE HERZOG - Clinical Psychologist License in Illinois | # 071006128

LAURA MARIE HERZOG

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006128

License Status

INACTIVE

Business

N

First Name

LAURA

Middle

MARIE

Last Name

HERZOG

Business Name

LAURA MARIE HERZOG

Original Issue Date

10/18/2000

Effective Date

08/31/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014