ROBERT T MITRIONE MD Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003137

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

MITRIONE

Suffix

Business Name

ROBERT T MITRIONE MD

Original Issue Date

01/04/1984

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/04/2005