AMY C WAGNER Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003893

License Status

CANCELLED

Business

First Name

AMY C

Last Name

WAGNER

Business Name

AMY C WAGNER

Original Issue Date

02/17/1989

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005