ROBERT R BLAKE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001245

License Status

NOT RENEWED

Business

First Name

ROBERT R

Last Name

BLAKE

Business Name

ROBERT R BLAKE

Expiration Date

09/30/1998

City

INDIANAPOLIS

State

Zip

46260

County

INDIANA

Ever Disciplined

LastModifiedDate

09/03/2005