RONALD GAYLE BALLENGER PHD Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003197

License Status

INACTIVE

Business

First Name

RONALD

Middle

GAYLE

Last Name

BALLENGER

Suffix

PHD

Business Name

RONALD GAYLE BALLENGER PHD

Original Issue Date

10/16/1984

Effective Date

07/11/2014

Expiration Date

09/30/2016

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

07/06/2016