MARVIN BLOOMBERG Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000741

License Status

CANCELLED

Business

First Name

MARVIN

Last Name

BLOOMBERG

Business Name

MARVIN BLOOMBERG

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

MAROA

State

Zip

61756

County

MACON

Ever Disciplined

LastModifiedDate

09/04/2005