DIANNE BURGIN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002303

License Status

CANCELLED

Business

First Name

DIANNE

Last Name

BURGIN

Business Name

DIANNE BURGIN

Original Issue Date

05/22/1978

Expiration Date

09/30/1990

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005