MORTON WAGMAN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000690

License Status

INACTIVE

Business

First Name

MORTON

Last Name

WAGMAN

Business Name

MORTON WAGMAN

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/12/2007