PAUL W MACELLARI Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004005

License Status

INACTIVE

Business

First Name

PAUL W

Last Name

MACELLARI

Business Name

PAUL W MACELLARI

Original Issue Date

08/11/1989

Expiration Date

09/30/1992

City

SOUTH BEND

State

Zip

46615

County

INDIANA

Ever Disciplined

LastModifiedDate

09/03/2005