GEORGE M BALEN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006250

License Status

INACTIVE

Business

First Name

GEORGE

Middle

Last Name

BALEN

Business Name

GEORGE M BALEN

Original Issue Date

06/08/2001

Effective Date

08/04/2004

Expiration Date

09/30/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/13/2006