MARK L BLODGETT Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003727

License Status

CANCELLED

Business

First Name

MARK

Middle

Last Name

BLODGETT

Business Name

MARK L BLODGETT

Original Issue Date

03/19/1988

Expiration Date

09/30/1990

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/04/2005