ANGELA D GILLHAM Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006534

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

GILLHAM

Business Name

ANGELA D GILLHAM

Original Issue Date

04/16/2003

Effective Date

10/15/2012

Expiration Date

09/30/2014

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

11/17/2014