DAVID LANE WODRICH Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005478

License Status

INACTIVE

Business

First Name

DAVID LANE

Last Name

WODRICH

Business Name

DAVID LANE WODRICH

Original Issue Date

08/18/1997

Effective Date

09/26/2000

Expiration Date

09/30/2000

City

PHOENIX

State

Zip

85006

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/11/2005