MARILYN S MISNER Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002094

License Status

INACTIVE

Business

First Name

MARILYN S

Last Name

MISNER

Business Name

MARILYN S MISNER

Original Issue Date

12/28/1976

Effective Date

09/24/2002

Expiration Date

09/30/2002

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005