DANIEL BODE Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001604

License Status

CANCELLED

Business

First Name

DANIEL

Last Name

BODE

Business Name

DANIEL BODE

Original Issue Date

01/23/1973

Expiration Date

09/30/1990

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/04/2005