GERALD W BURGENER Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002743

License Status

INACTIVE

Business

First Name

GERALD W

Last Name

BURGENER

Business Name

GERALD W BURGENER

Original Issue Date

11/12/1980

Effective Date

07/14/2008

Expiration Date

09/30/2010

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

07/08/2010