CAROL I DIENER Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002889

License Status

CANCELLED

Business

First Name

CAROL I

Last Name

DIENER

Business Name

CAROL I DIENER

Original Issue Date

11/24/1981

Expiration Date

09/30/1990

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2005