ALLEN FANNIN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001994

License Status

INACTIVE

Business

First Name

ALLEN

Last Name

FANNIN

Business Name

ALLEN FANNIN

Original Issue Date

07/21/1976

Effective Date

08/06/2002

Expiration Date

09/30/2002

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

09/11/2005