SARA BOURQUE Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002363

License Status

CANCELLED

Business

First Name

SARA

Last Name

BOURQUE

Business Name

SARA BOURQUE

Original Issue Date

05/22/1978

Expiration Date

09/30/1990

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

09/04/2005