RANDALL B MARTIN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000818

License Status

CANCELLED

Business

First Name

RANDALL B

Last Name

MARTIN

Business Name

RANDALL B MARTIN

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/04/2005