BONITA FAYE BOWERS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008427

License Status

NOT RENEWED

Business

First Name

BONITA

Middle

FAYE

Last Name

BOWERS

Business Name

BONITA FAYE BOWERS

Original Issue Date

10/04/2012

Effective Date

08/17/2016

Expiration Date

09/30/2018

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/05/2018