MARK ALAN BABULA Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007611

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALAN

Last Name

BABULA

Business Name

MARK ALAN BABULA

Original Issue Date

01/22/2009

Effective Date

01/22/2009

Expiration Date

09/30/2010

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

11/08/2010