LAURA MARIE HERZOG Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006128

License Status

INACTIVE

Business

First Name

LAURA

Middle

MARIE

Last Name

HERZOG

Business Name

LAURA MARIE HERZOG

Original Issue Date

10/18/2000

Effective Date

08/31/2012

Expiration Date

09/30/2014

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/03/2014