DANA B WAGNER Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006933

License Status

ACTIVE

Business

First Name

DANA

Middle

Last Name

WAGNER

Business Name

DANA B WAGNER

Original Issue Date

10/18/2005

Effective Date

09/15/2024

Expiration Date

09/30/2026

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

09/15/2024