MARCIA R SMITH Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002853

License Status

NOT RENEWED

Business

First Name

MARCIA R

Last Name

SMITH

Business Name

MARCIA R SMITH

Original Issue Date

11/24/1981

Expiration Date

09/30/1986

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/03/2005