MARK THOMAS BARISA - Clinical Psychologist License in Indiana | # 071006199

MARK THOMAS BARISA

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006199

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

THOMAS

Last Name

BARISA

Business Name

MARK THOMAS BARISA

Original Issue Date

01/12/2001

Effective Date

07/13/2006

Expiration Date

09/30/2008

State

IN

Ever Disciplined

N

LastModifiedDate

11/06/2008