MARK THOMAS BARISA Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006199

License Status

NOT RENEWED

Business

First Name

MARK

Middle

THOMAS

Last Name

BARISA

Business Name

MARK THOMAS BARISA

Original Issue Date

01/12/2001

Effective Date

07/13/2006

Expiration Date

09/30/2008

City

FISHERS

State

Zip

46037

County

INDIANA

Ever Disciplined

LastModifiedDate

11/06/2008