HELEN M BALLESTEROS Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003785

License Status

INACTIVE

Business

First Name

HELEN M

Last Name

BALLESTEROS

Business Name

HELEN M BALLESTEROS

Original Issue Date

05/24/1988

Effective Date

07/30/2010

Expiration Date

09/30/2012

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

07/05/2012