RANDALL B MARTIN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000818

License Status

INACTIVE

Business

First Name

RANDALL B

Last Name

MARTIN

Business Name

RANDALL B MARTIN

Original Issue Date

09/25/2008

Effective Date

09/14/2012

Expiration Date

09/30/2014

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

07/03/2014