NINA TABOR MARTIN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005413

License Status

NOT RENEWED

Business

First Name

NINA TABOR

Last Name

MARTIN

Business Name

NINA TABOR MARTIN

Original Issue Date

06/11/1997

Effective Date

08/04/2010

Expiration Date

09/30/2012

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

11/08/2012