EDWARD G DAVIS JR Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002583

License Status

NOT RENEWED

Business

First Name

EDWARD G

Last Name

DAVIS JR

Business Name

EDWARD G DAVIS JR

Original Issue Date

11/21/1979

Effective Date

11/01/2004

Expiration Date

09/30/2004

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

09/11/2005