DANIEL BODE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001604

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

BODE

Business Name

DANIEL BODE

Original Issue Date

01/23/1973

Effective Date

10/15/2002

Expiration Date

09/30/2002

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005