MICHELLE D WINE Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006330

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

WINE

Business Name

MICHELLE D WINE

Original Issue Date

12/13/2001

Effective Date

07/13/2006

Expiration Date

09/30/2008

City

COLORADO SPRINGS

State

Zip

80921

County

COLORADO

Ever Disciplined

LastModifiedDate

07/10/2008