MARK L BLODGETT Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003727

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

BLODGETT

Business Name

MARK L BLODGETT

Original Issue Date

03/19/1988

Effective Date

07/19/2018

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/27/2020