THEODORE R SMITH JR Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003539

License Status

INACTIVE

Business

First Name

THEODORE R

Last Name

SMITH JR

Business Name

THEODORE R SMITH JR

Original Issue Date

03/28/1987

Expiration Date

09/30/1992

City

JACKSONVILLE

State

Zip

32210

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/03/2005