BETH JOY BLACKBIRD - Clinical Psychologist License in Michigan | # 071005363

BETH JOY BLACKBIRD

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005363

License Status

INACTIVE

Business

N

First Name

BETH JOY

Last Name

BLACKBIRD

Business Name

BETH JOY BLACKBIRD

Original Issue Date

03/05/1997

Effective Date

06/11/2007

Expiration Date

09/30/2008

State

MI

Ever Disciplined

N

LastModifiedDate

07/10/2008