MARILYN A BOUSSUM Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000891

License Status

NOT RENEWED

Business

First Name

MARILYN A

Last Name

BOUSSUM

Business Name

MARILYN A BOUSSUM

Expiration Date

09/30/1986

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/03/2005