JUDITH A SAMFORD Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003126

License Status

INACTIVE

Business

First Name

JUDITH

Middle

Last Name

SAMFORD

Business Name

JUDITH A SAMFORD

Original Issue Date

12/02/1983

Effective Date

07/25/2012

Expiration Date

09/30/2014

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

07/03/2014