RAYMOND M BERGNER Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002214

License Status

INACTIVE

Business

First Name

RAYMOND M

Last Name

BERGNER

Business Name

RAYMOND M BERGNER

Original Issue Date

10/07/1977

Effective Date

08/19/2022

Expiration Date

09/30/2024

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/29/2024