MARLENE R EISEN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002297

License Status

NOT RENEWED

Business

First Name

MARLENE R

Last Name

EISEN

Business Name

MARLENE R EISEN

Original Issue Date

05/22/1978

Effective Date

08/18/2017

Expiration Date

09/30/2018

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018