ETHAN R EVERETT Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006279

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

EVERETT

Business Name

ETHAN R EVERETT

Original Issue Date

08/16/2001

Effective Date

11/01/2004

Expiration Date

09/30/2004

City

BISMARK

State

Zip

61814

County

VERMILION

Ever Disciplined

LastModifiedDate

09/11/2005