JUDITH H TALLEVAST Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000798

License Status

CANCELLED

Business

First Name

JUDITH H

Last Name

TALLEVAST

Business Name

JUDITH H TALLEVAST

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

09/04/2005