MARVIN EDWARD FOGEL Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001661

License Status

NOT RENEWED

Business

First Name

MARVIN EDWARD

Last Name

FOGEL

Business Name

MARVIN EDWARD FOGEL

Original Issue Date

08/02/1973

Effective Date

07/13/2006

Expiration Date

09/30/2008

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

11/06/2008