FRANK MAZRIM Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000391

License Status

INACTIVE

Business

First Name

FRANK

Last Name

MAZRIM

Business Name

FRANK MAZRIM

Effective Date

09/29/2004

Expiration Date

09/30/2004

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005