EUGENE ALLEN SOUTHWELL Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000416

License Status

NOT RENEWED

Business

First Name

EUGENE ALLEN

Last Name

SOUTHWELL

Business Name

EUGENE ALLEN SOUTHWELL

Effective Date

09/07/2004

Expiration Date

09/30/2006

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

11/08/2006