MARIAN B DEITZ Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004437

License Status

INACTIVE

Business

First Name

MARIAN B

Last Name

DEITZ

Business Name

MARIAN B DEITZ

Original Issue Date

12/27/1991

Effective Date

07/30/2012

Expiration Date

09/30/2014

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/03/2014