FREDERIC GOLDEN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001753

License Status

CANCELLED

Business

First Name

FREDERIC

Last Name

GOLDEN

Business Name

FREDERIC GOLDEN

Original Issue Date

07/08/1974

Expiration Date

09/30/1990

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

09/04/2005