HAROLD IWASHITA Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002173

License Status

NOT RENEWED

Business

First Name

HAROLD

Last Name

IWASHITA

Business Name

HAROLD IWASHITA

Original Issue Date

06/17/1977

Effective Date

08/05/2004

Expiration Date

09/30/2006

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

11/08/2006