MARLENE R EISEN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002297

License Status

CANCELLED

Business

First Name

MARLENE R

Last Name

EISEN

Business Name

MARLENE R EISEN

Original Issue Date

05/22/1978

Expiration Date

09/30/1990

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005