DIETRA DUFFALA TEICHMANN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002543

License Status

INACTIVE

Business

First Name

DIETRA DUFFALA

Last Name

TEICHMANN

Business Name

DIETRA DUFFALA TEICHMANN

Original Issue Date

11/21/1979

Effective Date

08/02/2010

Expiration Date

09/30/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/05/2012