LORRAINE H GOLDBERG Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000450

License Status

NOT RENEWED

Business

First Name

LORRAINE

Middle

Last Name

GOLDBERG

Business Name

LORRAINE H GOLDBERG

Original Issue Date

11/25/1964

Effective Date

07/30/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2012