JEROME WAGNER PHD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

PSYCHOLOGIST CE SPONSOR

License Number

268000036

License Status

ACTIVE

Business

Business Name

JEROME WAGNER PHD

Original Issue Date

03/20/2014

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2024