BENJAMIN LUTHER MOORE Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001891

License Status

CANCELLED

Business

First Name

BENJAMIN LUTHER

Last Name

MOORE

Business Name

BENJAMIN LUTHER MOORE

Original Issue Date

06/26/1975

Expiration Date

09/30/1990

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/04/2005