DANA S SUSSMAN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001503

License Status

CANCELLED

Business

First Name

DANA S

Last Name

SUSSMAN

Business Name

DANA S SUSSMAN

Original Issue Date

02/16/1972

Expiration Date

09/30/1990

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005