MARTHA STEVE SUTHERLAND Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006475

License Status

INACTIVE

Business

First Name

MARTHA

Middle

STEVE

Last Name

SUTHERLAND

Business Name

MARTHA STEVE SUTHERLAND

Original Issue Date

12/23/2002

Effective Date

10/07/2004

Expiration Date

09/30/2004

City

FT COLLINS

State

Zip

80528

County

COLORADO

Ever Disciplined

LastModifiedDate

09/11/2005