BENJAMIN LUTHER MOORE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001891

License Status

NOT RENEWED

Business

First Name

BENJAMIN LUTHER

Last Name

MOORE

Business Name

BENJAMIN LUTHER MOORE

Original Issue Date

06/26/1975

Effective Date

08/25/2014

Expiration Date

09/30/2016

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/26/2016