SAMUEL EDWARD KRUG Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002326

License Status

CANCELLED

Business

First Name

SAMUEL EDWARD

Last Name

KRUG

Business Name

SAMUEL EDWARD KRUG

Original Issue Date

05/22/1978

Expiration Date

09/30/1990

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2005