SAMUEL P MORENO Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003237

License Status

CANCELLED

Business

First Name

SAMUEL P

Last Name

MORENO

Business Name

SAMUEL P MORENO

Original Issue Date

12/21/1984

Expiration Date

09/30/1990

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/04/2005