LOGAN ROARK JR Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001490

License Status

CANCELLED

Business

First Name

LOGAN

Last Name

ROARK JR

Business Name

LOGAN ROARK JR

Original Issue Date

02/16/1972

Expiration Date

09/30/1990

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

09/04/2005