SUSAN E MINYARD Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003548

License Status

CANCELLED

Business

First Name

SUSAN E

Last Name

MINYARD

Business Name

SUSAN E MINYARD

Original Issue Date

05/23/1987

Expiration Date

09/30/1990

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2005