ELIOT MICHAEL BRENNER Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005456

License Status

NOT RENEWED

Business

First Name

ELIOT MICHAEL

Last Name

BRENNER

Business Name

ELIOT MICHAEL BRENNER

Original Issue Date

07/02/1997

Effective Date

10/15/2002

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005