The holder whose full name is Bornstein, Mark,come from Lincolnshire IL,hold the Temporary Psychologist Permit license(NO.99010407A) which status is Superceded.
| Name | Bornstein, Mark |
|---|---|
| License Number | 99010407A |
| License Type | Temporary Psychologist Permit |
| License Status | Superceded |
| City | Lincolnshire |
| State | IL |