COLIN MICHAEL RAK - DIETZ - Clinical Psychologist License in Indiana

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009664

License Status

INACTIVE

Business

First Name

COLIN

Middle

MICHAEL

Last Name

RAK - DIETZ

Business Name

COLIN MICHAEL RAK - DIETZ

Original Issue Date

11/09/2017

Effective Date

09/24/2018

Expiration Date

09/30/2020

City

WESTFIELD

State

Zip

46074

County

HAMILTON

Ever Disciplined

LastModifiedDate

07/27/2020