BONNIE R MARTIN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005755

License Status

NOT RENEWED

Business

First Name

BONNIE R

Last Name

MARTIN

Business Name

BONNIE R MARTIN

Original Issue Date

12/04/1998

Effective Date

10/15/2002

Expiration Date

09/30/2002

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005