GERALD W BURGENER Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002743

License Status

CANCELLED

Business

First Name

GERALD W

Last Name

BURGENER

Business Name

GERALD W BURGENER

Original Issue Date

11/12/1980

Expiration Date

09/30/1990

City

MOWEAQUA

State

Zip

62550

County

SHELBY

Ever Disciplined

LastModifiedDate

09/04/2005