HENRY F GROMOLL Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000638

License Status

CANCELLED

Business

First Name

HENRY F

Last Name

GROMOLL

Business Name

HENRY F GROMOLL

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/04/2005