WAYNE W SORENSON Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001113

License Status

CANCELLED

Business

First Name

WAYNE W

Last Name

SORENSON

Business Name

WAYNE W SORENSON

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

BLOOMINGTON

State

Zip

61710

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/04/2005