CHARLES TITUS BOUDREAUX Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006650

License Status

ACTIVE

Business

First Name

CHARLES

Middle

TITUS

Last Name

BOUDREAUX

Business Name

CHARLES TITUS BOUDREAUX

Original Issue Date

12/15/2003

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/30/2024