AUDREY M BORTH - Clinical Psychologist License in Wisconsin | # 071001986

AUDREY M BORTH

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001986

License Status

INACTIVE

Business

N

First Name

AUDREY M

Last Name

BORTH

Business Name

AUDREY M BORTH

Original Issue Date

07/21/1976

Expiration Date

09/30/1994

State

WI

Ever Disciplined

N

LastModifiedDate

09/03/2005