THEODORE R SMITH JR Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003539

License Status

CANCELLED

Business

First Name

THEODORE R

Last Name

SMITH JR

Business Name

THEODORE R SMITH JR

Original Issue Date

03/28/1987

Expiration Date

09/30/1990

City

KATHLEEN

State

Zip

31047

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/04/2005