HAROLD IWASHITA Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002173

License Status

CANCELLED

Business

First Name

HAROLD

Last Name

IWASHITA

Business Name

HAROLD IWASHITA

Original Issue Date

06/17/1977

Expiration Date

09/30/1990

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

09/04/2005