SAMUEL EDWARD KRUG Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002326

License Status

NOT RENEWED

Business

First Name

SAMUEL EDWARD

Last Name

KRUG

Business Name

SAMUEL EDWARD KRUG

Original Issue Date

05/22/1978

Effective Date

07/11/2012

Expiration Date

09/30/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/17/2014