KENNETH R WALLIN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001698

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

WALLIN

Business Name

KENNETH R WALLIN

Original Issue Date

08/02/1973

City

ST SIMONS ISLAND

State

Zip

31522

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/03/2005