IAN H GOTLIB Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004594

License Status

INACTIVE

Business

First Name

IAN H

Last Name

GOTLIB

Business Name

IAN H GOTLIB

Original Issue Date

12/10/1992

Effective Date

07/26/2012

Expiration Date

09/30/2014

City

STANFORD

State

Zip

94305

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/03/2014