SHIRLEY J HEINZE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000365

License Status

NOT RENEWED

Business

First Name

SHIRLEY J

Last Name

HEINZE

Business Name

SHIRLEY J HEINZE

Original Issue Date

01/01/1998

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

09/04/2005