RUSSELL S OMENS Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005675

License Status

INACTIVE

Business

First Name

RUSSELL

Middle

Last Name

OMENS

Business Name

RUSSELL S OMENS

Original Issue Date

05/20/1998

Effective Date

08/28/2012

Expiration Date

09/30/2014

City

BRADENTON

State

Zip

34203

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/03/2014