ELAINE F ALDEN-PONTILLO Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002934

License Status

INACTIVE

Business

First Name

ELAINE F

Last Name

ALDEN-PONTILLO

Business Name

ELAINE F ALDEN-PONTILLO

Original Issue Date

06/03/1982

Effective Date

09/04/2008

Expiration Date

09/30/2010

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

07/08/2010