LAURIE L BERGNER Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002227

License Status

CANCELLED

Business

First Name

LAURIE L

Last Name

BERGNER

Business Name

LAURIE L BERGNER

Original Issue Date

12/30/1977

Expiration Date

09/30/1990

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/04/2005