ELLEN SMALL ROSENBERG - Clinical Psychologist License in Illinois | # 071002113

ELLEN SMALL ROSENBERG

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002113

License Status

INACTIVE

Business

N

First Name

ELLEN SMALL

Last Name

ROSENBERG

Business Name

ELLEN SMALL ROSENBERG

Original Issue Date

12/28/1976

Effective Date

07/16/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2020